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1407553795
BRENICKE JOHNSON
COLUMBIA, SC
NPI
1407553795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 26893)
Enumeration Date
2023-02-08
Last Update Date
2023-02-09
Business Address
BRENICKE JOHNSON FNP
120 HIGHLAND CENTER DR STE 1
COLUMBIA, SC 29203-9127
Phone number: 803-928-5525
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Mailing Address
BRENICKE JOHNSON FNP
2214 OLD CHEROKEE RD
LEXINGTON, SC 29072-9725
Phone number: 803-520-5972
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