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1063107167
JACOB MCKENNA
COLUMBIA, SC
NPI
1063107167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC LL89728)
Enumeration Date
2023-04-06
Last Update Date
2023-07-07
Business Address
JACOB MCKENNA
14 MEDICAL PARK
COLUMBIA, SC 29203
Phone number: 803-434-3790
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Mailing Address
JACOB MCKENNA
14 MEDICAL PARK
COLUMBIA, SC 29203
Phone number:
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