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1417594599
MIRANDA THOMAS
FLORENCE, SC
NPI
1417594599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23133)
Enumeration Date
2019-12-08
Last Update Date
2020-04-09
Business Address
MIRANDA THOMAS NP
1590 FREEDOM BLVD STE B
FLORENCE, SC 29505-6071
Phone number: 843-665-9581
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Mailing Address
MIRANDA THOMAS NP
PO BOX 602108
CHARLOTTE, NC 28260-2108
Phone number: 843-792-6200
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