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1194222935
JORDAN CAITLIN POLK
COLUMBIA, SC
NPI
1194222935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: SC 21658)
Enumeration Date
2018-04-09
Last Update Date
2018-06-21
Business Address
JORDAN CAITLIN POLK NP
4605 MONTICELLO RD STE 1
COLUMBIA, SC 29203
Phone number: 803-714-0266
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Mailing Address
JORDAN CAITLIN POLK NP
PO BOX 3788
COLUMBIA, SC 29230-3788
Phone number: 803-733-5969
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