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Individual

MARY LECOMTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
105 BLACK BEAR RD, MYRTLE BEACH, SC 29588-8492
(843) 286-9741
Mailing address
105 BLACK BEAR RD, MYRTLE BEACH, SC 29588-8492
(843) 286-9741

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89473
SC

Other

Enumeration date
01/14/2021
Last updated
01/14/2021
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