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1669070694
MEGHAN JOAN WALLACE
FLORENCE, SC
NPI
1669070694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 23696)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
MEGHAN JOAN WALLACE FNP-C
555 E CHEVES ST
FLORENCE, SC 29506-2617
Phone number: 843-777-2000
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Mailing Address
MEGHAN JOAN WALLACE FNP-C
509 SPRUCE ST
FLORENCE, SC 29501-5151
Phone number: 803-460-4424
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