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1598924581
TAMIKA M BOLDEN RAVENELL
MOUNT PLEASANT, SC
NPI
1598924581
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Former Name
TAMIKA M BOLDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: SC POD.607 POD)
Enumeration Date
2008-06-04
Last Update Date
2013-12-13
Business Address
Dr. TAMIKA M BOLDEN RAVENELL DPM
180 WINGO WAY SUITE 201
MOUNT PLEASANT, SC 29464-1810
Phone number: 843-856-5337
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Mailing Address
Dr. TAMIKA M BOLDEN RAVENELL DPM
PO BOX 783
MOUNT PLEASANT, SC 29465-0783
Phone number: 916-215-1234
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