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1992236798
LUCILLE ELLEN BURNS WALTER
SPARTANBURG, SC
NPI
1992236798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20874)
Enumeration Date
2017-03-23
Last Update Date
2021-01-14
Business Address
LUCILLE ELLEN BURNS WALTER NP
1200 E MAIN ST SUITE 12
SPARTANBURG, SC 29307-1711
Phone number: 864-560-9260
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Mailing Address
LUCILLE ELLEN BURNS WALTER NP
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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