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1104511294
DAVID FAIRCLOTH
COLUMBIA, SC
NPI
1104511294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-06
Last Update Date
2023-04-06
Business Address
DAVID FAIRCLOTH
3209 COLONIAL DR
COLUMBIA, SC 29203-6930
Phone number: 803-434-7399
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Mailing Address
DAVID FAIRCLOTH
3209 COLONIAL DR
COLUMBIA, SC 29203-6930
Phone number:
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