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1487926176
JAN C RUSENKO
MYRTLE BEACH, SC
NPI
1487926176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
Ms. JAN C RUSENKO
435 OCEAN CREEK DR #2711
MYRTLE BEACH, SC 29572
Phone number: 843-267-5007
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Mailing Address
Ms. JAN C RUSENKO
435 OCEAN CREEK DR APT 2711
MYRTLE BEACH, SC 29572-5720
Phone number: 843-267-5007
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