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1184381766
PHYLICIA BONHAM
CHARLESTON, SC
NPI
1184381766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC 25848)
Enumeration Date
2021-11-18
Last Update Date
2022-04-18
Business Address
PHYLICIA BONHAM
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-285-9670
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Mailing Address
PHYLICIA BONHAM
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-285-9670
Copy
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