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1255850392
LATOYHA TAMARA GREEN
COLUMBIA, SC
NPI
1255850392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21365)
Enumeration Date
2017-09-10
Last Update Date
2019-04-29
Business Address
Miss LATOYHA TAMARA GREEN FNP-C
4310 HARD SCRABBLE RD
COLUMBIA, SC 29229-9423
Phone number: 803-865-6680
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Mailing Address
Miss LATOYHA TAMARA GREEN FNP-C
4310 HARD SCRABBLE RD
COLUMBIA, SC 29229-9423
Phone number:
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