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1164973855
LAUREN KUPERUS
MYRTLE BEACH, SC
NPI
1164973855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 19898)
Enumeration Date
2016-10-18
Last Update Date
2019-11-13
Business Address
LAUREN KUPERUS NP-C
3411 SOCASTEE BLVD
MYRTLE BEACH, SC 29588-6111
Phone number: 866-389-2727
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Mailing Address
LAUREN KUPERUS NP-C
2169 EASTWOODS DR
CONWAY, SC 29526-7714
Phone number: 843-855-4673
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