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1114500022
SUMMER ROSE ROUSH
COLUMBIA, SC
NPI
1114500022
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Former Name
SUMMER ROSE SAWYER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX 1177004)
Enumeration Date
2021-04-29
Last Update Date
2024-10-07
Business Address
SUMMER ROSE ROUSH
4500 8TH DIVISION RD
COLUMBIA, SC 29207-5720
Phone number: 803-751-0589
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Mailing Address
SUMMER ROSE ROUSH
109 STEEPLE DR
COLUMBIA, SC 29229-8977
Phone number: 202-290-9644
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