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1770128613
LISA MONDO DAVIS
WEST COLUMBIA, SC
NPI
1770128613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 23416)
Enumeration Date
2019-11-14
Last Update Date
2024-07-17
Business Address
LISA MONDO DAVIS NP-C
2728 SUNSET BLVD STE 400
WEST COLUMBIA, SC 29169-4872
Phone number: 803-744-4940
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Mailing Address
LISA MONDO DAVIS NP-C
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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