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1821480195
ANGELA COUNCIL
HARTSVILLE, SC
NPI
1821480195
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Former Name
ANGELA JETT JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 19322)
Enumeration Date
2015-02-24
Last Update Date
2022-11-09
Business Address
ANGELA COUNCIL
1268 S 4TH ST
HARTSVILLE, SC 29550-0703
Phone number: 843-332-3422
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Mailing Address
ANGELA COUNCIL
PO BOX 1090
HARTSVILLE, SC 29551-1090
Phone number: 843-857-0111
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