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1194355701
KIMBERLY THOMAS GAUGHAN
MYRTLE BEACH, SC
NPI
1194355701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 39545)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
Mrs. KIMBERLY THOMAS GAUGHAN BSN
700 21ST AVE N
MYRTLE BEACH, SC 29577-7400
Phone number: 843-409-5287
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Mailing Address
Mrs. KIMBERLY THOMAS GAUGHAN BSN
2203 WOODLAWN DR
CONWAY, SC 29526-7707
Phone number: 843-409-5287
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