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1821850108
KISHA BEACH PENN
SUMMERVILLE, SC
NPI
1821850108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse Ambulatory Care
(Licence: SC 81496)
Enumeration Date
2024-01-23
Last Update Date
2024-01-23
Business Address
PROF. KISHA BEACH PENN
100 CALLEN BLVD
SUMMERVILLE, SC 29486-2807
Phone number: 843-343-2432
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Mailing Address
PROF. KISHA BEACH PENN
1427 PINETHICKET DR
SUMMERVILLE, SC 29486-8661
Phone number: 843-343-2432
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