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1164076733
AVIA LATRELLE REAVES
COLUMBIA, SC
NPI
1164076733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23110)
Enumeration Date
2019-07-31
Last Update Date
2019-10-28
Business Address
AVIA LATRELLE REAVES FNP-BC
1301 TAYLOR ST STE 8A
COLUMBIA, SC 29201
Phone number: 803-929-2955
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Mailing Address
AVIA LATRELLE REAVES FNP-BC
1301 TAYLOR ST STE 8A
COLUMBIA, SC 29201-2955
Phone number: 803-929-2955
Copy
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