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1750396388
REBECCA FULLAM
COLUMBIA, SC
NPI
1750396388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC APN2647)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
-- REBECCA FULLAM NP
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
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Mailing Address
-- REBECCA FULLAM NP
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
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