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1255952693
NACOLE DOMANIKA EDWARDS
GREER, SC
NPI
1255952693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: NC CPT20-0756)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
NACOLE DOMANIKA EDWARDS CPT
108 ROE ST
GREER, SC 29651-1235
Phone number: 864-293-5607
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Mailing Address
NACOLE DOMANIKA EDWARDS CPT
108 ROE ST
GREER, SC 29651-1235
Phone number:
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