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1487163648
LISA FOUTZ GANTT
PICKENS, SC
NPI
1487163648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC P44091)
Enumeration Date
2017-09-20
Last Update Date
2022-07-21
Business Address
LISA FOUTZ GANTT LPN
200 MCDANIEL AVE
PICKENS, SC 29671-2527
Phone number: 864-898-5965
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Mailing Address
LISA FOUTZ GANTT LPN
200 MCDANIEL AVENUE
PICKENS, SC 29671
Phone number: 864-898-5965
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