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1023487832
JACLYNN LANE
COLUMBIA, SC
NPI
1023487832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: SC 25100)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- JACLYNN LANE RN
2100 BULL ST
COLUMBIA, SC 29201-2104
Phone number: 803-898-1832
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Mailing Address
-- JACLYNN LANE RN
2100 BULL ST
COLUMBIA, SC 29201-2104
Phone number: 803-898-1832
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