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1437116241
MICHELE LIVELY
CONWAY, SC
NPI
1437116241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 1075)
Enumeration Date
2006-04-26
Last Update Date
2020-04-10
Business Address
MRS. MICHELE LIVELY APRN
1301 CREEL ST
CONWAY, SC 29527-5018
Phone number: 843-248-4414
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Mailing Address
MRS. MICHELE LIVELY APRN
300 SINGLETON RIDGE RD ATTENTION PATIENT ACCOUNTING
CONWAY, SC 29526-9142
Phone number: 843-234-6827
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