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Individual

MRS. MARY JOYCE BLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
700 KNOX ABBOTT DR, WEST COLUMBIA, SC 29033-3340
(803) 939-8400
(803) 939-8408
Mailing address
10 LYME BAY, COLUMBIA, SC 29212-0915
(803) 422-1367

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
54233
SC

Other

Enumeration date
03/20/2013
Last updated
03/20/2013
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