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1942086400
CARLIE DEE FUSCO
WEST COLUMBIA, SC
NPI
1942086400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
CARLIE DEE FUSCO
407 N BROWN ST
WEST COLUMBIA, SC 29169-5710
Phone number: 803-995-8963
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Mailing Address
CARLIE DEE FUSCO
192 TWISTED HILL RD
IRMO, SC 29063-2049
Phone number: 843-465-1623
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