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1285869578
DEITRA MECHELLE WATSON
COLUMBIA, SC
NPI
1285869578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 3842)
Enumeration Date
2009-05-15
Last Update Date
2022-04-07
Business Address
Mrs. DEITRA MECHELLE WATSON MSN, APRN-BC
1501 SUMTER ST
COLUMBIA, SC 29201-2829
Phone number: 803-296-3726
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Mailing Address
Mrs. DEITRA MECHELLE WATSON MSN, APRN-BC
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 865-522-8603
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