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Individual

MRS. JAMIE B. VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
139 HOOD RD, GREENVILLE, SC 29611-7519
(864) 269-4431
(864) 269-4426
Mailing address
139 HOOD RD, GREENVILLE, SC 29611-7519
(864) 269-4431
(864) 269-4426

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
214582
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104973577
SC
Enumeration date
03/17/2014
Last updated
03/17/2014
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