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1427408855
SAMANTHA LAKE HOLLIS
EASLEY, SC
NPI
1427408855
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Former Name
SAMANTHA ANN LAKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 83048)
Enumeration Date
2016-06-16
Last Update Date
2023-02-23
Business Address
SAMANTHA LAKE HOLLIS DO
764 SACO LOWELL RD
EASLEY, SC 29640-3880
Phone number: 864-855-5525
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Mailing Address
SAMANTHA LAKE HOLLIS DO
764 SACO LOWELL RD
EASLEY, SC 29640-3880
Phone number: 864-855-5525
Copy
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