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1629855796
ELTIPRISE KOSOBUD-SOSSAMON
CHARLESTON, SC
NPI
1629855796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 27898)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
ELTIPRISE KOSOBUD-SOSSAMON APRN
208B RUTLEDGE AVENUE MSC 108
CHARLESTON, SC 29425-0001
Phone number: 843-792-3224
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Mailing Address
ELTIPRISE KOSOBUD-SOSSAMON APRN
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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