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1568969079
TASHA LEE RALLEY
FLORENCE, SC
NPI
1568969079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21690)
Enumeration Date
2018-04-11
Last Update Date
2021-02-15
Business Address
TASHA LEE RALLEY FNP-C
101 S RAVENEL ST STE 270
FLORENCE, SC 29506-2624
Phone number: 843-777-7020
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Mailing Address
TASHA LEE RALLEY FNP-C
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-777-7401
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