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1053613786
BRIAN R OBENZA
MT PLEASANT, SC
NPI
1053613786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: SC TL1599)
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
BRIAN R OBENZA PA-C
180 WINGO WAY SUITE 204
MT PLEASANT, SC 29464-1810
Phone number: 843-534-1770
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Mailing Address
BRIAN R OBENZA PA-C
180 WINGO WAY SUITE 204
MT PLEASANT, SC 29464-1810
Phone number: 843-534-1770
Copy
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