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Individual

SHANA DIANNE HULSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AEMT

Contact information

Practice address
400 S LOGAN ST, GAFFNEY, SC 29341-1609
(864) 487-2706
Mailing address
400 S LOGAN ST, GAFFNEY, SC 29341-1609
(864) 487-2705

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
SC601028
SC

Other

Enumeration date
10/28/2021
Last updated
10/28/2021
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