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1972155471
PASEO SHATELLE DOUGLAS
FLORENCE, SC
NPI
1972155471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23045)
Enumeration Date
2019-07-15
Last Update Date
2022-09-23
Business Address
PASEO SHATELLE DOUGLAS NP
2200 S IRBY ST
FLORENCE, SC 29505-3423
Phone number: 843-662-9945
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Mailing Address
PASEO SHATELLE DOUGLAS NP
2200 S IRBY ST
FLORENCE, SC 29505-3423
Phone number: 843-662-9945
Copy
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