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Individual

MRS. JEANNE BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1040 BICKLEY RD, IRMO, SC 29063-9523
(803) 476-4509
(803) 476-4520
Mailing address
1040 BICKLEY RD, IRMO, SC 29063-9523
(803) 476-4509
(803) 476-4520

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
27941
SC

Other

Enumeration date
04/12/2013
Last updated
04/12/2013
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