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1114545647
ICIE HUTCHESON MULLIS
COLUMBIA, SC
NPI
1114545647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24046)
Enumeration Date
2020-07-10
Last Update Date
2023-12-04
Business Address
ICIE HUTCHESON MULLIS APRN
1910 GREGG ST
COLUMBIA, SC 29201-2618
Phone number: 803-779-5959
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Mailing Address
ICIE HUTCHESON MULLIS APRN
1910 GREGG ST
COLUMBIA, SC 29201-2618
Phone number: 803-779-5959
Copy
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