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1174602916
AMANDA B MCFANN
GOOSE CREEK, SC
NPI
1174602916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 2954)
Enumeration Date
2006-11-03
Last Update Date
2020-09-24
Business Address
Mrs. AMANDA B MCFANN NP
110 NNPTC CIR BLDG 2418
GOOSE CREEK, SC 29445-6314
Phone number: 843-577-5011
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Mailing Address
Mrs. AMANDA B MCFANN NP
110 NNPTC CIR BLDG 2418
GOOSE CREEK, SC 29445-6314
Phone number: 843-577-5011
Copy
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UNIVERSAL PRIMARY CARE & AESTHETICS, LLC