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1154672939
JESSICA I FAULK
COLUMBIA, SC
NPI
1154672939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC 01062372)
Enumeration Date
2012-09-20
Last Update Date
2017-02-03
Business Address
JESSICA I FAULK MS, RD
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
JESSICA I FAULK MS, RD
6439 GARNERS FERRY RD 120
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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