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1164882320
CRYSTAL L WILLIS
COLUMBIA, SC
NPI
1164882320
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Former Name
CRYSTAL L EDWARDS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 212293)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- CRYSTAL L WILLIS MSN, RN
2000 HAMPTON ST
COLUMBIA, SC 29204-1002
Phone number: 803-576-2768
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Mailing Address
-- CRYSTAL L WILLIS MSN, RN
2700 NEWBERRY HWY
SALUDA, SC 29138-7395
Phone number: 864-344-8600
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