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1922564889
KANDY STEVENSON-BLACK
SENECA, SC
NPI
1922564889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22175)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
KANDY STEVENSON-BLACK FNP-BC
140 TOKEENA RD
SENECA, SC 29678-1744
Phone number: 864-882-1642
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Mailing Address
KANDY STEVENSON-BLACK FNP-BC
102 WILLOW COR
PIEDMONT, SC 29673-8396
Phone number:
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