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1841218682
VASTINE SCOTT
CONWAY, SC
NPI
1841218682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- VASTINE SCOTT
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- VASTINE SCOTT
PO BOX 1236
KINGSTREE, SC 29556-1236
Phone number: 843-354-2064
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