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1700430345
KORREDA GAUSE
MYRTLE BEACH, SC
NPI
1700430345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 3259)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
KORREDA GAUSE PA-C
8120 ROURK ST
MYRTLE BEACH, SC 29572-4127
Phone number: 843-449-1438
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Mailing Address
KORREDA GAUSE PA-C
1211 RAGIN ST
MYRTLE BEACH, SC 29577-3375
Phone number: 843-714-5720
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