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1689236465
JESSICA L BALLOULI
COLUMBIA, SC
NPI
1689236465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22973)
Enumeration Date
2019-07-02
Last Update Date
2022-09-30
Business Address
Mrs. JESSICA L BALLOULI NP-C
300 PALMETTO HEALTH PKWY STE 300
COLUMBIA, SC 29212-1763
Phone number: 803-907-7700
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Mailing Address
Mrs. JESSICA L BALLOULI NP-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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