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1669831491
LATAVIA HARRISON
COLUMBIA, SC
NPI
1669831491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 19856)
Enumeration Date
2016-02-22
Last Update Date
2018-09-27
Business Address
LATAVIA HARRISON APRN
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
LATAVIA HARRISON APRN
529 MILLS AVE
GREENVILLE, SC 29605-4218
Phone number: 864-751-6424
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