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1033780952
ROMAN KORYAKIN
NORTH MYRTLE BEACH, SC
NPI
1033780952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 25075)
Enumeration Date
2021-07-02
Last Update Date
2021-11-29
Business Address
ROMAN KORYAKIN FNP, APRN
3816 HIGHWAY 17 S
NORTH MYRTLE BEACH, SC 29582-5069
Phone number: 843-272-1411
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Mailing Address
ROMAN KORYAKIN FNP, APRN
3816 HIGHWAY 17 S
NORTH MYRTLE BEACH, SC 29582-5069
Phone number: 843-272-1411
Copy
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