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1083764062
MARK CALVIN FANDEL
MYRTLE BEACH, SC
NPI
1083764062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: SC 2264)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. MARK CALVIN FANDEL D.C.
505 18TH AVE N STE B
MYRTLE BEACH, SC 29577-3535
Phone number: 843-626-9340
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Mailing Address
Dr. MARK CALVIN FANDEL D.C.
PO BOX 1255
MYRTLE BEACH, SC 29578-1255
Phone number: 843-626-9340
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