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1124572599
KATHY VIDAL
COLUMBIA, SC
NPI
1124572599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0102X Registered Nurse, Maternal Newborn
(Licence: SC 72885)
Enumeration Date
2016-08-15
Last Update Date
2016-08-15
Business Address
Mrs. KATHY VIDAL RN
2000 HAMPTON ST
COLUMBIA, SC 29204-1002
Phone number: 803-576-2967
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Mailing Address
Mrs. KATHY VIDAL RN
1039 LAFAYETTE AVE
CAYCE, SC 29033-3226
Phone number: 803-243-1745
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