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1033566385
NIKITA MACK
COLUMBIA, SC
NPI
1033566385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174H00000X Health Educator
(Licence: SC 2016-51567-50461)
Enumeration Date
2016-05-17
Last Update Date
2016-05-17
Business Address
NIKITA MACK
55 CROOKED CREEK PL
COLUMBIA, SC 29229-7196
Phone number: 803-250-7396
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Mailing Address
NIKITA MACK
55 CROOKED CREEK PL
COLUMBIA, SC 29229-7196
Phone number: 803-250-7396
Copy
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