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1568202869
DAVEISHA JALYNN RICHARDSON
ORANGEBURG, SC
NPI
1568202869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 29811)
Enumeration Date
2024-05-27
Last Update Date
2025-01-24
Business Address
DAVEISHA JALYNN RICHARDSON
755 WHITMAN ST
ORANGEBURG, SC 29115-6163
Phone number: 803-534-7036
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Mailing Address
DAVEISHA JALYNN RICHARDSON
5997 CAROLINA HIGHWAY
DENMARK, SC 29042
Phone number: 803-308-4716
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