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1184653610
KAREN BOULANGER PACK
CHARLESTON, SC
NPI
1184653610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 668)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
-- KAREN BOULANGER PACK PA
3424 SHELBY RAY CT
CHARLESTON, SC 29414-5838
Phone number: 843-402-6834
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Mailing Address
-- KAREN BOULANGER PACK PA
4416 FOREST DR 2ND FLOOR
COLUMBIA, SC 29206-3104
Phone number: 803-782-4278
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