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1164874921
STACEY DILWORTH
TRAVELERS REST, SC
NPI
1164874921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20307)
Enumeration Date
2016-07-05
Last Update Date
2016-07-05
Business Address
Mrs. STACEY DILWORTH FNP
200 N HIGHWAY 25
TRAVELERS REST, SC 29690-2300
Phone number: 866-389-2727
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Mailing Address
Mrs. STACEY DILWORTH FNP
109 CALLAHAN AVE
GREENVILLE, SC 29617-2416
Phone number: 864-918-9705
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