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Individual

MS. ANGELA SAMUEL YOUNGBLOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7001 SAINT ANDREWS RD # 342, COLUMBIA, SC 29212-1137
(803) 800-4520
(803) 749-4305
Mailing address
7001 SAINT ANDREWS RD # 342, COLUMBIA, SC 29212-1137
(803) 800-4520
(803) 749-4305

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94460
SC

Other

Enumeration date
02/15/2010
Last updated
07/12/2010
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