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1619140340
MYRNA L. MATTOS
COLUMBIA, SC
NPI
1619140340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: SC R106388)
Enumeration Date
2008-04-02
Last Update Date
2008-04-02
Business Address
MYRNA L. MATTOS R.N.
1409 DEVINE STREET
COLUMBIA, SC 29208-0001
Phone number: 803-777-3658
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Mailing Address
MYRNA L. MATTOS R.N.
1409 DEVINE STREET
COLUMBIA, SC 29208-0001
Phone number: 803-777-3658
Copy
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