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1740776582
NIKITA SHANEKA PETE
COLUMBIA, SC
NPI
1740776582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21924)
Enumeration Date
2018-07-05
Last Update Date
2021-11-01
Business Address
NIKITA SHANEKA PETE
2701 MIDDLEBURG DR
COLUMBIA, SC 29204
Phone number: 803-376-8875
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Mailing Address
NIKITA SHANEKA PETE
540 SAINT ANDREWS RD
IRMO, SC 29063-8246
Phone number:
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