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1700388626
REBECCA E JACKSON
WEST COLUMBIA, SC
NPI
1700388626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 21730)
Enumeration Date
2018-03-07
Last Update Date
2024-07-17
Business Address
REBECCA E JACKSON NP-C
2728 SUNSET BLVD STE 400
WEST COLUMBIA, SC 29169-4872
Phone number: 803-936-7095
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Mailing Address
REBECCA E JACKSON NP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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