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Individual

MRS. RACHAEL JOY BOMBALICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
1109 ELLA CT, MYRTLE BEACH, SC 29588-1914
(843) 655-7878
Mailing address
1109 ELLA CT, MYRTLE BEACH, SC 29588-1914
(843) 655-7878

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2009
SC

Other

Enumeration date
03/01/2007
Last updated
03/25/2009
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