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1194752964
MARK WILSON BOSWELL
GREENVILLE, SC
NPI
1194752964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 1581)
Enumeration Date
2006-06-27
Last Update Date
2016-07-06
Business Address
-- MARK WILSON BOSWELL FNP
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-3204
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Mailing Address
-- MARK WILSON BOSWELL FNP
1 INDEPENDENCE PT SUITE 212
GREENVILLE, SC 29615-4545
Phone number: 864-797-6044
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