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1568828432
ERRYN C PROVENCHER
SUMTER, SC
NPI
1568828432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9112417)
Enumeration Date
2016-01-08
Last Update Date
2023-03-30
Business Address
ERRYN C PROVENCHER PA-C
674 W LIBERTY ST
SUMTER, SC 29150-4882
Phone number: 803-773-5227
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Mailing Address
ERRYN C PROVENCHER PA-C
674 W LIBERTY ST
SUMTER, SC 29150-4882
Phone number: 803-773-5227
Copy
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