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1114364213
CLYDIA PAUL RUSH
WEST COLUMBIA, SC
NPI
1114364213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 19936)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
-- CLYDIA PAUL RUSH
114 HOOK AVE
WEST COLUMBIA, SC 29169-5228
Phone number: 803-739-4075
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Mailing Address
-- CLYDIA PAUL RUSH
114 HOOK AVE
WEST COLUMBIA, SC 29169-5228
Phone number: 803-739-4075
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