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1932753738
KOSHA VYAS RICHARDSON
IRMO, SC
NPI
1932753738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 23085)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
KOSHA VYAS RICHARDSON FNP-BC
434 CRIMS CREEK WAY
IRMO, SC 29063-8877
Phone number: 803-553-9828
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Mailing Address
KOSHA VYAS RICHARDSON FNP-BC
434 CRIMS CREEK WAY
IRMO, SC 29063-8877
Phone number:
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