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1679909659
THOMASENA SARAHDETTA WALLER
GREENVILLE, SC
NPI
1679909659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 00049712)
Enumeration Date
2013-09-23
Last Update Date
2013-09-23
Business Address
-- THOMASENA SARAHDETTA WALLER RN
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-7000
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Mailing Address
-- THOMASENA SARAHDETTA WALLER RN
102 LAUREL VIEW LN
GREENVILLE, SC 29607-4740
Phone number:
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