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1053851121
JENNIFER SIEBO
COLUMBIA, SC
NPI
1053851121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20825)
Enumeration Date
2017-03-08
Last Update Date
2017-03-08
Business Address
-- JENNIFER SIEBO
TAYLOR AT MARION ST
COLUMBIA, SC 29220-0001
Phone number: 803-296-5578
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Mailing Address
-- JENNIFER SIEBO
405 FLAGSTONE CT
LEXINGTON, SC 29072-6902
Phone number:
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