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1073667234
TANYA C BRALLEY
MYRTLE BEACH, SC
NPI
1073667234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 1792)
Enumeration Date
2007-01-23
Last Update Date
2014-12-17
Business Address
-- TANYA C BRALLEY P.A.
8121 ROURK ST
MYRTLE BEACH, SC 29572-4128
Phone number: 843-692-5000
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Mailing Address
-- TANYA C BRALLEY P.A.
8121 ROURK ST
MYRTLE BEACH, SC 29572-4128
Phone number: 843-692-5000
Copy
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