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1710224217
DENISE MICHELLE MATHIS
SPARTANBURG, SC
NPI
1710224217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18111)
Enumeration Date
2013-01-03
Last Update Date
2019-10-10
Business Address
DENISE MICHELLE MATHIS
2660 REIDVILLE RD UNIT 1
SPARTANBURG, SC 29301-3512
Phone number: 864-560-9696
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Mailing Address
DENISE MICHELLE MATHIS
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number:
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