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1043972813
LISA ANNE HEIDER
SPARTANBURG, SC
NPI
1043972813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 52096)
Enumeration Date
2021-10-09
Last Update Date
2021-10-09
Business Address
Ms. LISA ANNE HEIDER LPN
2020 W CROFT CIR APT A
SPARTANBURG, SC 29302-3075
Phone number: 919-641-7517
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Mailing Address
Ms. LISA ANNE HEIDER LPN
2020 W CROFT CIR APT A
SPARTANBURG, SC 29302-3075
Phone number: 919-641-7517
Copy
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