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1265037402
HEATHER D MANIGAULT
LAKE CITY, SC
NPI
1265037402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: SC 167658)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
HEATHER D MANIGAULT NURSES AIDE
806 AUGUSTINE ST
LAKE CITY, SC 29560-4102
Phone number: 843-550-7110
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Mailing Address
HEATHER D MANIGAULT NURSES AIDE
806 AUGUSTINE ST
LAKE CITY, SC 29560-4102
Phone number: 843-550-7110
Copy