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1649222779
LISA COMETTO
COLUMBIA, SC
NPI
1649222779
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Former Name
LISA STANFIELD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 67968)
Enumeration Date
2006-05-17
Last Update Date
2009-02-26
Business Address
-- LISA COMETTO
220 FAISON DR
COLUMBIA, SC 29203-3210
Phone number: 803-898-8405
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Mailing Address
-- LISA COMETTO
PO BOX 485
COLUMBIA, SC 29202-0485
Phone number: 803-898-8405
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