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Individual

MRS. DEBRA JOHNSON PROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
320 HARBISON BLVD, SUITE 230, COLUMBIA, SC 29212-2225
(803) 732-8370
Mailing address
320 HARBISON BLVD, SUITE 230, COLUMBIA, SC 29212-2225
(803) 732-8370

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2194
SC

Other

Enumeration date
07/24/2006
Last updated
12/11/2007
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