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1578876553
JODY K EBLEN
CHARLESTON, SC
NPI
1578876553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: SC 104130)
Enumeration Date
2010-07-20
Last Update Date
2022-01-20
Business Address
MRS. JODY K EBLEN ANP
171 ASHLEY AVE
CHARLESTON, SC 29425-3133
Phone number: 843-792-1414
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Mailing Address
MRS. JODY K EBLEN ANP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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