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Individual

MAMIE DUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
207A N WASHINGTON ST, SUMTER, SC 29150-4204
(803) 938-5898
(803) 938-5443
Mailing address
207A N WASHINGTON ST, SUMTER, SC 29150-4204
(803) 316-4571
(803) 938-5443

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
004399
SC
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
044139
NURSE LICENSED
01
3014415
WE KARE HOME CARE AGENCY
SC
05
3014415
SC
Enumeration date
09/02/2019
Last updated
10/13/2022
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