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1477688356
JACQUELINE IMOGENE CONDER
COLUMBIA, SC
NPI
1477688356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 959)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Mrs. JACQUELINE IMOGENE CONDER ACNP CS CCRN
166 STONERIDGE DRIVE
COLUMBIA, SC 29210
Phone number: 803-461-3000
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Mailing Address
Mrs. JACQUELINE IMOGENE CONDER ACNP CS CCRN
PO BOX 2046
WEST COLUMBIA, SC 29171
Phone number: 803-461-3000
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