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1336782978
TINA DIANNE SMITH
SPARTANBURG, SC
NPI
1336782978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 22471)
Enumeration Date
2019-10-27
Last Update Date
2019-11-08
Business Address
TINA DIANNE SMITH NP
279 E KENNEDY ST
SPARTANBURG, SC 29302-1912
Phone number: 864-583-0053
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Mailing Address
TINA DIANNE SMITH NP
PO BOX 6130
SPARTANBURG, SC 29304-6130
Phone number: 864-583-0053
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