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1528446994
TASHA MARIE BROACH
FLORENCE, SC
NPI
1528446994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19461)
Enumeration Date
2015-05-18
Last Update Date
2024-06-25
Business Address
Mrs. TASHA MARIE BROACH NP-C
ONE SOURCE INTEGRATIVE MEDICINE 1601 A W. LUCAS ST
FLORENCE, SC 29501
Phone number: 843-773-1444
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Mailing Address
Mrs. TASHA MARIE BROACH NP-C
1841 SLOANE LANE
FLORENCE, SC 29501
Phone number: 843-260-8041
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