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1164998266
ALEXANDRA LYN CONDY
SUMTER, SC
NPI
1164998266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
207P00000X Emergency Medicine
(Licence: SC 3079)
Enumeration Date
2018-10-17
Last Update Date
2021-11-11
Business Address
ALEXANDRA LYN CONDY PA
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9099
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Mailing Address
ALEXANDRA LYN CONDY PA
PO BOX 601495
CHARLOTTE, NC 28260-1495
Phone number: 843-789-1620
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