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1417553116
MADINA SANTIAGO JUCABAN
WEST COLUMBIA, SC
NPI
1417553116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 24397)
Enumeration Date
2020-12-08
Last Update Date
2024-09-18
Business Address
MADINA SANTIAGO JUCABAN FNP-C
146 E HOSPITAL DR STE 140
WEST COLUMBIA, SC 29169-4800
Phone number: 803-791-2203
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Mailing Address
MADINA SANTIAGO JUCABAN FNP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2203
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