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1285979435
KENNAH JOHNSON BREARLEY
WEST COLUMBIA, SC
NPI
1285979435
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Former Name
KENNAH LOVE JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1865)
Enumeration Date
2012-11-29
Last Update Date
2013-04-30
Business Address
Mrs. KENNAH JOHNSON BREARLEY PA-C
3574 SUNSET BLVD
WEST COLUMBIA, SC 29169-3044
Phone number: 803-796-2500
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Mailing Address
Mrs. KENNAH JOHNSON BREARLEY PA-C
3574 SUNSET BLVD
WEST COLUMBIA, SC 29169-3044
Phone number: 803-796-2500
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