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1487610135
AMANDA L WARDLAW
WEST COLUMBIA, SC
NPI
1487610135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 2638)
Enumeration Date
2006-04-21
Last Update Date
2022-02-08
Business Address
AMANDA L WARDLAW
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-935-8292
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Mailing Address
AMANDA L WARDLAW
300 E MCBEE AVE
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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