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1396363917
TIA LATRESE EVANS
GREENVILLE, SC
NPI
1396363917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 25273)
Enumeration Date
2020-07-09
Last Update Date
2021-10-04
Business Address
Mrs. TIA LATRESE EVANS
2210 LAURENS RD # 2246
GREENVILLE, SC 29607-3224
Phone number: 864-288-8280
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Mailing Address
Mrs. TIA LATRESE EVANS
2210 LAURENS RD # 2246
GREENVILLE, SC 29607-3224
Phone number: 864-288-8280
Copy
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