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1912301656
JANINE GIBSON SPAIN
COLUMBIA, SC
NPI
1912301656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 104109)
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
-- JANINE GIBSON SPAIN RN
2000 HAMPTON STREET
COLUMBIA, SC 29223
Phone number: 803-785-6626
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Mailing Address
-- JANINE GIBSON SPAIN RN
1016 BUTTERCUP CIRCLE
BLYTHEWOOD, SC 29016
Phone number: 803-785-6626
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