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1912491895
MARIANELLA MIJARES
RIDGELAND, SC
NPI
1912491895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 180808)
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
MARIANELLA MIJARES CSFA
1316 HEARTHSTONE DR
RIDGELAND, SC 29936-7088
Phone number: 352-397-7450
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Mailing Address
MARIANELLA MIJARES CSFA
PO BOX 1460
HARDEEVILLE, SC 29927-1460
Phone number:
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