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1356648281
SAMUEL VANCE TRIPP
CHARLESTON, SC
NPI
1356648281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 4412)
Enumeration Date
2011-02-11
Last Update Date
2011-02-11
Business Address
-- SAMUEL VANCE TRIPP CRNA
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-2300
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Mailing Address
-- SAMUEL VANCE TRIPP CRNA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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