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1487361127
MIRIAM MEDICAL CLINIC LLC
ROCK HILL, SC
NPI
1487361127
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Entity Type
Organization
Authorized Contact
MARIE FENELON
Authorized Official
704-904-3367
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
MIRIAM MEDICAL CLINIC LLC
1926 INDIA HOOK RD
ROCK HILL, SC 29732-1218
Phone number: 704-904-3367
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Mailing Address
MIRIAM MEDICAL CLINIC LLC
1926 INDIA HOOK RD
ROCK HILL, SC 29732-1218
Phone number: 704-904-3367
Copy
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