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1457817785
KOMALEATHER YOUNG
COLUMBIA, SC
NPI
1457817785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 22460)
Enumeration Date
2019-02-12
Last Update Date
2019-03-18
Business Address
KOMALEATHER YOUNG
1 RICHLAND MEDICAL PARK DR STE 420
COLUMBIA, SC 29203-6833
Phone number: 803-545-5350
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Mailing Address
KOMALEATHER YOUNG
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7303
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