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1932708146
LATROY OMAR DINGLE
COLUMBIA, SC
NPI
1932708146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 24151)
Enumeration Date
2020-10-19
Last Update Date
2023-08-28
Business Address
LATROY OMAR DINGLE FNP-BC
3 RICHLAND MEDICAL PARK DR STE 120
COLUMBIA, SC 29203-6850
Phone number: 803-434-8866
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Mailing Address
LATROY OMAR DINGLE FNP-BC
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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