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1083792949
THEADA C. HAYNES
COLUMBIA, SC
NPI
1083792949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC R59025)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mrs. THEADA C. HAYNES R.N.
2015 MARION ST
COLUMBIA, SC 29201-2113
Phone number: 803-898-0123
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Mailing Address
Mrs. THEADA C. HAYNES R.N.
3113 JACKSON CREEK RD
WINNSBORO, SC 29180-7663
Phone number:
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