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Individual

BERTINA LYNETTE DUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2611 LIBERTY HILL RD, CAMDEN, SC 29020-1871
(803) 432-5323
Mailing address
204 GREAT NORTH RD, COLUMBIA, SC 29223-5149
(256) 651-8860

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220611
SC
164X00000X
Licensed Vocational Nurse
2-051953
AL

Other

Enumeration date
06/08/2017
Last updated
06/08/2017
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