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1265804066
PHYLLIS RAYNOR
WEST COLUMBIA, SC
NPI
1265804066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: SC APRN19777)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- PHYLLIS RAYNOR
2900 SUNSET BLVD
WEST COLUMBIA, SC 29169-3422
Phone number: 803-796-9911
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Mailing Address
-- PHYLLIS RAYNOR
206 CEDAR VIEW DR
IRMO, SC 29063-7929
Phone number: 803-466-5082
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