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1205249729
SCOTT JORGENSEN
SPARTANBURG, SC
NPI
1205249729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 209536)
Enumeration Date
2014-06-03
Last Update Date
2021-01-25
Business Address
SCOTT JORGENSEN
101 E WOOD ST STE 401
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6654
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Mailing Address
SCOTT JORGENSEN
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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