Individual
DENNIS MAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 WILDLIFE GROVE RD, LEXINGTON, SC 29072-2417
(347) 306-9059
Mailing address
139 WILDLIFE GROVE RD, LEXINGTON, SC 29072-2417
(347) 306-9059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
54857
SC
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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