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1902235864
LARISSA CONNELL
CONWAY, SC
NPI
1902235864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 18566)
Enumeration Date
2013-11-01
Last Update Date
2024-04-02
Business Address
LARISSA CONNELL FNP-BC
2376 CYPRESS CIRCLE STE 102
CONWAY, SC 29526-8964
Phone number: 843-347-8953
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Mailing Address
LARISSA CONNELL FNP-BC
300 SINGLETON RIDGE RD ATTENTION PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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