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1760707558
STACEY BUMGARDNER
ROCK HILL, SC
NPI
1760707558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 4035)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
Mrs. STACEY BUMGARDNER APRN
222 S HERLONG AVE
ROCK HILL, SC 29732-1158
Phone number: 803-329-6754
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Mailing Address
Mrs. STACEY BUMGARDNER APRN
1410 PARK WALK PL
ROCK HILL, SC 29732-2573
Phone number: 803-329-6754
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