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1639893498
NIKIYA SHANTA EVANS
MYRTLE BEACH, SC
NPI
1639893498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
276400000X Rehabilitation, Substance Use Disorder Unit
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
NIKIYA SHANTA EVANS LPN
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579-7335
Phone number: 800-805-6989
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Mailing Address
NIKIYA SHANTA EVANS LPN
119 AUGUSTA PLANTATION DR UNIT J
MYRTLE BEACH, SC 29579-6440
Phone number: 843-685-2655
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