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Individual

CARLA STAR NOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, 2100 BULL STREET, COLLUMBIA, SC 29204
(803) 898-0664
Mailing address
309 HANCOCK RD, AIKEN, SC 29801-0647
(803) 507-8991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91178
SC

Other

Enumeration date
06/06/2017
Last updated
06/06/2017
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