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1205257730
ANACORITA ELLISOR
MONCKS CORNER, SC
NPI
1205257730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19635)
Enumeration Date
2013-12-31
Last Update Date
2018-07-24
Business Address
ANACORITA ELLISOR FNP
306 AIRPORT DR
MONCKS CORNER, SC 29461
Phone number: 304-429-1088
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Mailing Address
ANACORITA ELLISOR FNP
PO BOX 390
HUNTINGTON, WV 25708-0390
Phone number: 304-429-1088
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