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1144073081
MAYA NASSIM BOUGEBRAYEL
LEXINGTON, SC
NPI
1144073081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 5392)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2024-04-10
Last Update Date
2024-12-12
Business Address
MAYA NASSIM BOUGEBRAYEL
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-296-7846
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Mailing Address
MAYA NASSIM BOUGEBRAYEL
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-695-6697
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