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1386137685
KIIRA KATHRYN MENDENHALL
CHARLESTON, SC
NPI
1386137685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: SC 21776)
Enumeration Date
2018-06-11
Last Update Date
2018-07-17
Business Address
KIIRA KATHRYN MENDENHALL FNP
171 ASHLEY AVE
CHARLESTON, SC 29425
Phone number: 843-792-1414
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Mailing Address
KIIRA KATHRYN MENDENHALL FNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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