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1023407269
ASHLEY DIVERS
CAMDEN, SC
NPI
1023407269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: SC 19251)
Enumeration Date
2015-01-12
Last Update Date
2015-01-12
Business Address
ASHLEY DIVERS NP
1344 HAILE ST
CAMDEN, SC 29020-3076
Phone number: 803-432-1996
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Mailing Address
ASHLEY DIVERS NP
1344 HAILE ST
CAMDEN, SC 29020-3076
Phone number: 803-432-1996
Copy
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