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1497257125
LATISHA J HAVENS
COLUMBIA, SC
NPI
1497257125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 46442)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
LATISHA J HAVENS LPN
2000 HAMPTON ST FL 3
COLUMBIA, SC 29204-1002
Phone number: 803-898-0123
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Mailing Address
LATISHA J HAVENS LPN
2715 COLONIAL DR STE 100B
COLUMBIA, SC 29203-6818
Phone number: 803-898-4802
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