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Individual

STEPHANIE MAHURON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 541-1061
(803) 541-1066
Mailing address
11015 ELLENTON ST, BARNWELL, SC 29812-7307
(803) 541-1061
(803) 541-1066

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R207413
SC

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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