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1043578438
JOHANA ROCIO FAJARDO
CHARLESTON, SC
NPI
1043578438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: SC 21577)
Enumeration Date
2012-04-24
Last Update Date
2018-03-17
Business Address
JOHANA ROCIO FAJARDO DNP ANP-BC
171 ASHLEY AVE
CHARLESTON, SC 29425-0005
Phone number: 843-792-1414
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Mailing Address
JOHANA ROCIO FAJARDO DNP ANP-BC
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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