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1366922866
JERRI NICOLE MASANOVICH
LEXINGTON, SC
NPI
1366922866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 22146)
Enumeration Date
2018-08-15
Last Update Date
2021-11-19
Business Address
JERRI NICOLE MASANOVICH NP
171B MONROE LN
LEXINGTON, SC 29072-3904
Phone number: 803-358-8496
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Mailing Address
JERRI NICOLE MASANOVICH NP
1209 LOWNSDALE RD
WEST COLUMBIA, SC 29170-3178
Phone number: 803-920-6376
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