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1053172064
DENNIS RAY WADE
ORANGEBURG, SC
NPI
1053172064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-01-17
Last Update Date
2024-01-17
Business Address
Mr. DENNIS RAY WADE
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-2042
Phone number: 803-536-1571
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Mailing Address
Mr. DENNIS RAY WADE
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-2042
Phone number: 803-536-1571
Copy
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