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1578055471
FANTASIA IZOLIA CHANDLER
ORANGEBURG, SC
NPI
1578055471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 21694)
Enumeration Date
2018-06-06
Last Update Date
2024-04-15
Business Address
FANTASIA IZOLIA CHANDLER APRN
575 STONEWALL JACKSON BLVD
ORANGEBURG, SC 29115-7250
Phone number: 864-316-8984
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Mailing Address
FANTASIA IZOLIA CHANDLER APRN
159 CHANSTALAS RD
SALLEY, SC 29137-9435
Phone number: 803-608-8938
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