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1114938768
WILLIAM SEAN IRVIN
EASLEY, SC
NPI
1114938768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 153)
Enumeration Date
2006-08-10
Last Update Date
2013-01-28
Business Address
-- WILLIAM SEAN IRVIN PAC
112 JOHN ST SUITE 201
EASLEY, SC 29640-1472
Phone number: 864-850-2663
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Mailing Address
-- WILLIAM SEAN IRVIN PAC
PO BOX 2089
EASLEY, SC 29641-2089
Phone number: 864-850-2663
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