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Individual

NICOLE JIRIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, LE

Contact information

Practice address
83 CENTER STREET, SUITE B, FOLLY BEACH, SC 29439
(843) 588-5551
Mailing address
PO BOX 445, FOLLY BEACH, SC 29439-0445
(843) 588-5551

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS9039
SC

Other

Enumeration date
04/16/2014
Last updated
06/14/2016
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