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1770513103
KATHRYN S MOCK
COLUMBIA, SC
NPI
1770513103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 2154)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Ms. KATHRYN S MOCK FNP
8301 FARROW RD
COLUMBIA, SC 29203-3245
Phone number: 803-255-3417
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Mailing Address
Ms. KATHRYN S MOCK FNP
15 MEDICAL PARK RD SUITE 300
COLUMBIA, SC 29203
Phone number: 803-255-3417
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