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1376675108
THERESA B PRINCE
WEST COLUMBIA, SC
NPI
1376675108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC APRN 1212)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
THERESA B PRINCE NP
111 MEDICAL LN E
WEST COLUMBIA, SC 29169-4813
Phone number: 803-936-7679
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Mailing Address
THERESA B PRINCE NP
2720 SUNSET BLVD ATTN CREDENTIALING
WEST COLUMBIA, SC 29169-4810
Phone number: 803-936-7679
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