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Individual

MRS. NATALIE ALICE SANMIGUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1340
(864) 512-1749
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-1417
(864) 512-1823

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20488
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN2599
SC
Enumeration date
08/30/2016
Last updated
12/28/2016
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