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1225417710
RYAN BRAD CARSTEN
COLUMBIA, SC
NPI
1225417710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19477)
Enumeration Date
2015-05-29
Last Update Date
2016-03-22
Business Address
-- RYAN BRAD CARSTEN
1409 DEVINE ST
COLUMBIA, SC 29208-3902
Phone number: 803-777-3175
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Mailing Address
-- RYAN BRAD CARSTEN
1409 DEVINE ST
COLUMBIA, SC 29208-3902
Phone number:
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