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1598184350
BEANETTA LASHONDA GAMBLE-TISDALE
CHARLESTON, SC
NPI
1598184350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 97019)
Enumeration Date
2014-04-09
Last Update Date
2014-04-09
Business Address
Ms. BEANETTA LASHONDA GAMBLE-TISDALE RN
3 CHARLESTON CENTER DR
CHARLESTON, SC 29401-1162
Phone number: 843-579-4516
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Mailing Address
Ms. BEANETTA LASHONDA GAMBLE-TISDALE RN
3 CHARLESTON CENTER DR
CHARLESTON, SC 29401-1162
Phone number: 843-579-4516
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