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1194371500
SHAVON CHAMERI PRABHAKAR
COLUMBIA, SC
NPI
1194371500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 23157)
Enumeration Date
2019-08-12
Last Update Date
2020-11-25
Business Address
Mrs. SHAVON CHAMERI PRABHAKAR FNP
169 LAURELHURST AVE
COLUMBIA, SC 29210-3825
Phone number: 803-730-0742
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Mailing Address
Mrs. SHAVON CHAMERI PRABHAKAR FNP
169 LAURELHURST AVE
COLUMBIA, SC 29210-3825
Phone number: 803-260-7719
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