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1164513263
DOROTHY MARIE MACK
CHARLESTON, SC
NPI
1164513263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 1992)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Mrs. DOROTHY MARIE MACK N.P.
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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Mailing Address
Mrs. DOROTHY MARIE MACK N.P.
135 SHADOWMOSS PKWY
CHARLESTON, SC 29414-6857
Phone number: 843-766-9991
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