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1710225867
SHANNON DAWN KRETZ
CONWAY, SC
NPI
1710225867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC pr40574)
Enumeration Date
2013-01-24
Last Update Date
2013-01-24
Business Address
-- SHANNON DAWN KRETZ
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
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Mailing Address
-- SHANNON DAWN KRETZ
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number:
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