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1285040329
LAVON FENDERSON
WEST COLUMBIA, SC
NPI
1285040329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18897)
Enumeration Date
2014-07-09
Last Update Date
2014-11-09
Business Address
Dr. LAVON FENDERSON DNP, FNP-BC
2858 SUNSET BLVD
WEST COLUMBIA, SC 29169-3420
Phone number: 803-699-9073
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Mailing Address
Dr. LAVON FENDERSON DNP, FNP-BC
2858 SUNSET BLVD
WEST COLUMBIA, SC 29169-3420
Phone number:
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