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1295757664
DIANE RACKEL
CHARLESTON, SC
NPI
1295757664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704139694)
Enumeration Date
2006-07-24
Last Update Date
2017-06-07
Business Address
-- DIANE RACKEL CFNP
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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Mailing Address
-- DIANE RACKEL CFNP
PO BOX 304
FOLLY BEACH, SC 29439-0304
Phone number: 989-737-5744
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