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1659320208
JESSE PHILLIP ELM
SPARTANBURG, SC
NPI
1659320208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC APN2380)
Enumeration Date
2006-05-10
Last Update Date
2009-11-17
Business Address
Mr. JESSE PHILLIP ELM APRN
189 SERPENTINE DRIVE
SPARTANBURG, SC 29303
Phone number: 864-560-3280
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Mailing Address
Mr. JESSE PHILLIP ELM APRN
2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303-2972
Phone number: 864-489-0441
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