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1700628906
KIMBERLY DENISE SMALLS
GOOSE CREEK, SC
NPI
1700628906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: SC 139836)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
Mrs. KIMBERLY DENISE SMALLS
221 SAINT JAMES AVE
GOOSE CREEK, SC 29445-2976
Phone number: 843-377-8637
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Mailing Address
Mrs. KIMBERLY DENISE SMALLS
221 SAINT JAMES AVE
GOOSE CREEK, SC 29445-2976
Phone number: 843-377-8637
Copy
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