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Individual

CHRISTY CLEMENZ DUNBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
608 EAST COLUMBIA AVE, LEESVILLE, SC 29070
(803) 532-8155
(803) 532-9685
Mailing address
608 E COLUMBIA AVE, PO BOX 3608, LEESVILLE, SC 29070-7318
(803) 532-8155
(803) 532-9685

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
686
SC
363LF0000X
Family Nurse Practitioner
APN 686
SC

Other

Enumeration date
09/20/2005
Last updated
06/25/2012
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