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1952643124
LILLIAN STUKES-DOUGLAS
SUMTER, SC
NPI
1952643124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 18215)
Enumeration Date
2013-03-26
Last Update Date
2017-01-19
Business Address
-- LILLIAN STUKES-DOUGLAS DNP
325 BROAD ST SUITE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227
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Mailing Address
-- LILLIAN STUKES-DOUGLAS DNP
21 E HOSPITAL ST
MANNING, SC 29102-3152
Phone number:
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