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1104243518
AMBER NICOLE BALLENTINE
MANNING, SC
NPI
1104243518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 18710)
Enumeration Date
2014-03-24
Last Update Date
2020-01-16
Business Address
AMBER NICOLE BALLENTINE APRN
22 BOZARD ST
MANNING, SC 29102-2935
Phone number: 803-435-8828
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Mailing Address
AMBER NICOLE BALLENTINE APRN
22 BOZARD ST
MANNING, SC 29102-2935
Phone number: 803-435-8828
Copy
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