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1023599560
KATHLEEN BAXLEY
WEST COLUMBIA, SC
NPI
1023599560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22174)
Enumeration Date
2018-08-23
Last Update Date
2023-03-08
Business Address
KATHLEEN BAXLEY FNP-BC
3314 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170-2204
Phone number: 803-791-3494
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Mailing Address
KATHLEEN BAXLEY FNP-BC
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-3494
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