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1407447352
SHAREDA MICKELLE YOUNG
SPARTANBURG, SC
NPI
1407447352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 24150)
Enumeration Date
2021-02-02
Last Update Date
2021-02-02
Business Address
SHAREDA MICKELLE YOUNG NP
3070 REIDVILLE RD
SPARTANBURG, SC 29301-5642
Phone number: 864-576-5764
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Mailing Address
SHAREDA MICKELLE YOUNG NP
426 JEWELWOOD DR
LYMAN, SC 29365-1351
Phone number: 864-331-9851
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