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1013455302
ALEXANDER PETKOVSEK
MYRTLE BEACH, SC
NPI
1013455302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20710)
Enumeration Date
2017-02-07
Last Update Date
2022-01-27
Business Address
-- ALEXANDER PETKOVSEK
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572-4181
Phone number: 843-497-6348
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Mailing Address
-- ALEXANDER PETKOVSEK
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572-4181
Phone number: 843-497-6348
Copy
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