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1316584865
DIANE SUSAN WHITE
SHAW AFB, SC
NPI
1316584865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23495)
Enumeration Date
2019-12-03
Last Update Date
2024-08-23
Business Address
DIANE SUSAN WHITE NP-C
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number: 803-895-6356
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Mailing Address
DIANE SUSAN WHITE NP-C
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number:
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