NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1376904177
BAKER
JESSICA
3681 LEAPHART RD STE A
WEST COLUMBIA
SC
291693068
1467506022
WEED
SHAY
F
1900 SUNSET BLVD
WEST COLUMBIA
SC
291695932
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