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1275905465
LISA JETT MATHIS
SPARTANBURG, SC
NPI
1275905465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19722)
Enumeration Date
2015-10-27
Last Update Date
2015-10-27
Business Address
Mrs. LISA JETT MATHIS FNP
3021 REIDVILLE RD
SPARTANBURG, SC 29301-5643
Phone number: 864-576-9201
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Mailing Address
Mrs. LISA JETT MATHIS FNP
3021 REIDVILLE ROAD
SPARTANBURG, SC 29301
Phone number: 864-576-9201
Copy
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