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1477131290
MARY GRACE MARES
ORANGEBURG, SC
NPI
1477131290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN290035)
Enumeration Date
2021-04-01
Last Update Date
2021-06-21
Business Address
MARY GRACE MARES NP
141 CENTRE ST
ORANGEBURG, SC 29115-6043
Phone number: 803-534-7200
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Mailing Address
MARY GRACE MARES NP
3059 ANDERSON PL
DECATUR, GA 30033-1601
Phone number: 404-933-3826
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