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1487954079
LATOYA DENISE MICKLE
COLUMBIA, SC
NPI
1487954079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 4225)
Enumeration Date
2010-10-28
Last Update Date
2024-09-17
Business Address
LATOYA DENISE MICKLE APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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Mailing Address
LATOYA DENISE MICKLE APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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