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1114286150
CHRISTINE STEVENS JACKSON
MC CLELLANVILLE, SC
NPI
1114286150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RM2200X Technician, Pathology, Medical Laboratory
(Licence: MT 1600)
Enumeration Date
2012-05-11
Last Update Date
2012-05-11
Business Address
Mrs. CHRISTINE STEVENS JACKSON
161 LIBERTY ST
MC CLELLANVILLE, SC 29458-9721
Phone number: 843-230-9297
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Mailing Address
Mrs. CHRISTINE STEVENS JACKSON
161 LIBERTY ST
MC CLELLANVILLE, SC 29458-9721
Phone number: 843-230-9297
Copy