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Individual

JANE MANSFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
112 REGENCY DR, CONWAY, SC 29526-9018
(843) 234-0412
Mailing address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 661-4762

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R92661
SC

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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