MANUEL AUGUSTO VALDEBRAN CANALES

CHARLESTON, SC
NPI1013553957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  AL4383413)
Enumeration Date2019-11-26
Last Update Date2019-12-23
Business Address
MANUEL AUGUSTO VALDEBRAN CANALES
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
MANUEL AUGUSTO VALDEBRAN CANALES
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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