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1528083748
BRANDEIS K FENNELL
FLORENCE, SC
NPI
1528083748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 2829)
Enumeration Date
2006-07-12
Last Update Date
2009-03-27
Business Address
-- BRANDEIS K FENNELL NP
1203 EAST CHEVES STREET
FLORENCE, SC 29506-2711
Phone number: 843-777-2564
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Mailing Address
-- BRANDEIS K FENNELL NP
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-777-2564
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