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1508224015
HAILEY BETH LIBENGOOD
CHARLESTON, SC
NPI
1508224015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 2445)
Enumeration Date
2016-01-29
Last Update Date
2016-08-05
Business Address
-- HAILEY BETH LIBENGOOD PA-C
135 RUTLEDGE AVE
CHARLESTON, SC 29425-8903
Phone number: 843-792-3328
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Mailing Address
-- HAILEY BETH LIBENGOOD PA-C
PO BOX 1245
ORANGEBURG, SC 29116-1245
Phone number: 803-395-4497
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