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1023591419
CALISSA LESHELL BROOKS
SIMPSONVILLE, SC
NPI
1023591419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22197)
Enumeration Date
2018-09-11
Last Update Date
2021-09-22
Business Address
CALISSA LESHELL BROOKS FNP
698 FAIRVIEW RD
SIMPSONVILLE, SC 29680-6708
Phone number: 864-962-8991
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Mailing Address
CALISSA LESHELL BROOKS FNP
698 FAIRVIEW RD
SIMPSONVILLE, SC 29680-6708
Phone number: 864-962-8991
Copy
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