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1063830206
ANGELA TIDWELL
SUMTER, SC
NPI
1063830206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: SC 49775)
Enumeration Date
2014-04-04
Last Update Date
2014-04-04
Business Address
-- ANGELA TIDWELL R.N.
105 N MAGNOLIA ST
SUMTER, SC 29150-4941
Phone number: 803-934-2833
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Mailing Address
-- ANGELA TIDWELL R.N.
105 N MAGNOLIA ST
SUMTER, SC 29150-4941
Phone number: 803-934-2833
Copy
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