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1487214359
CASEY WADSWORTH
CHARLESTON, SC
NPI
1487214359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: SC LL82606)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
CASEY WADSWORTH
135 CANNON ST
CHARLESTON, SC 29425-8909
Phone number: 843-792-7108
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Mailing Address
CASEY WADSWORTH
45 SYCAMORE AVE APT 1218
CHARLESTON, SC 29407-6736
Phone number: 843-517-2879
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