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1306246558
AMY OSGUTHORPE WISSE
CHARLESTON, SC
NPI
1306246558
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Former Name
AMY OSGUTHORPE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18860)
Enumeration Date
2014-08-25
Last Update Date
2017-01-12
Business Address
-- AMY OSGUTHORPE WISSE
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
-- AMY OSGUTHORPE WISSE
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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