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1740994151
GRACE CROSS
SUMMERVILLE, SC
NPI
1740994151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 27628)
Enumeration Date
2023-01-10
Last Update Date
2024-09-19
Business Address
GRACE CROSS
100 CALLEN BLVD
SUMMERVILLE, SC 29486-2807
Phone number: 843-572-3330
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Mailing Address
GRACE CROSS
9150 MEDCOM ST STE B
NORTH CHARLESTON, SC 29406-9196
Phone number:
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