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1154359412
SUZANNE H DECKELBAUM
MYRTLE BEACH, SC
NPI
1154359412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 1714)
Enumeration Date
2006-06-28
Last Update Date
2024-10-16
Business Address
Mrs. SUZANNE H DECKELBAUM NP
8170 ROURK ST STE 100
MYRTLE BEACH, SC 29572-4127
Phone number: 843-449-0453
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Mailing Address
Mrs. SUZANNE H DECKELBAUM NP
508 DANIA BEACH DR
MYRTLE BEACH, SC 29577-6302
Phone number: 843-422-3377
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