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1629317920
IJAN W HOUSE
COLUMBIA, SC
NPI
1629317920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18147)
Enumeration Date
2013-02-06
Last Update Date
2022-11-02
Business Address
Mrs. IJAN W HOUSE FNP
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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Mailing Address
Mrs. IJAN W HOUSE FNP
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Copy
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