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1295465755
CARLETT NICOLE JETHROE
MYRTLE BEACH, SC
NPI
1295465755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26137)
Enumeration Date
2022-06-15
Last Update Date
2022-07-18
Business Address
CARLETT NICOLE JETHROE FNP-C
1303 38TH AVE N
MYRTLE BEACH, SC 29577-1315
Phone number: 866-389-2727
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Mailing Address
CARLETT NICOLE JETHROE FNP-C
1303 38TH AVE N
MYRTLE BEACH, SC 29577-1315
Phone number: 866-389-2727
Copy
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