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1255732798
MARY VIRGINIA GIRARDEAU LUCAS
WALTERBORO, SC
NPI
1255732798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 19050)
Enumeration Date
2014-09-15
Last Update Date
2016-10-07
Business Address
MARY VIRGINIA GIRARDEAU LUCAS APRN, FNP-C
401 WITSELL ST
WALTERBORO, SC 29488-3052
Phone number: 843-549-5546
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Mailing Address
MARY VIRGINIA GIRARDEAU LUCAS APRN, FNP-C
2030 POWERS FERRY RD SE SUITE 120
ATLANTA, GA 30339-2823
Phone number: 678-801-2313
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