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1205486164
DEBORAH SUSAN TATE
MYRTLE BEACH, SC
NPI
1205486164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WV 76800)
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
DEBORAH SUSAN TATE RN
4347 LAKE FRONT BLVD
MYRTLE BEACH, SC 29588-9666
Phone number: 681-753-8815
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Mailing Address
DEBORAH SUSAN TATE RN
4347 LAKE FRONT BLVD
MYRTLE BEACH, SC 29588-9666
Phone number: 681-753-8815
Copy
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