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Individual

GRENDA S DOUNTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2346 PLEASANT RD, FORT MILL, SC 29708-9216
(803) 835-0070
(803) 835-0099
Mailing address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
73826
SC

Other

Enumeration date
05/21/2013
Last updated
05/21/2013
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