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1710982772
KIM GOSNELL
SENECA, SC
NPI
1710982772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 21)
Enumeration Date
2005-06-16
Last Update Date
2018-04-30
Business Address
KIM GOSNELL NP
107 OMNI DR STE A
SENECA, SC 29672-9448
Phone number: 864-885-7886
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Mailing Address
KIM GOSNELL NP
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number: 864-797-6308
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