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1205679917
KELLI FISHBURNE
WALTERBORO, SC
NPI
1205679917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC F06240189)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
KELLI FISHBURNE
447 SPRUCE ST
WALTERBORO, SC 29488-2766
Phone number: 843-549-6331
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Mailing Address
KELLI FISHBURNE
447 SPRUCE ST
WALTERBORO, SC 29488-2766
Phone number:
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