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1356708069
LISA CAROL TABAKIAN
MOUNT PLEASANT, SC
NPI
1356708069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19940)
Enumeration Date
2016-01-26
Last Update Date
2023-05-09
Business Address
LISA CAROL TABAKIAN APRN
631 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464-3030
Phone number: 843-881-0815
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Mailing Address
LISA CAROL TABAKIAN APRN
631 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464-3030
Phone number: 843-881-0815
Copy
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