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1902518640
SHAVONTE NICOLE MACK
FLORENCE, SC
NPI
1902518640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: SC 9989149)
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
MISS SHAVONTE NICOLE MACK PHLEBOTOMIST, MOBILE
221 FORE RD
FLORENCE, SC 29506-4520
Phone number: 843-409-3638
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Mailing Address
MISS SHAVONTE NICOLE MACK PHLEBOTOMIST, MOBILE
221 FORE RD
FLORENCE, SC 29506-4520
Phone number: 843-409-3638
Copy
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