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1972263820
LISA M MAHAN
MONCKS CORNER, SC
NPI
1972263820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 246958)
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
LISA M MAHAN
121 YORKSHIRE DR
MONCKS CORNER, SC 29461-8891
Phone number: 518-588-9272
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Mailing Address
LISA M MAHAN
121 YORKSHIRE DR
MONCKS CORNER, SC 29461-8891
Phone number: 518-588-9272
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