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1922394766
BRENDA SUE SUPOWIT
COLUMBIA, SC
NPI
1922394766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: SC 108293)
Enumeration Date
2011-06-20
Last Update Date
2011-06-20
Business Address
Ms. BRENDA SUE SUPOWIT RN
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-4800
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Mailing Address
Ms. BRENDA SUE SUPOWIT RN
108 FISHERS SHORE RD
COLUMBIA, SC 29223-5570
Phone number: 803-708-5378
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