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1396349015
KELVIN BROOKS
COLUMBIA, SC
NPI
1396349015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: SC 210674)
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
KELVIN BROOKS
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-413-6483
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Mailing Address
KELVIN BROOKS
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number:
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