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1134163892
ROBERTO ANTONIO MIRANDA SANTIAGO
FLORENCE, SC
NPI
1134163892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 37361)
Enumeration Date
2006-06-15
Last Update Date
2021-03-05
Business Address
DR. ROBERTO ANTONIO MIRANDA SANTIAGO M.D.
2501 S VANCE DR STE A
FLORENCE, SC 29505-6163
Phone number: 843-679-4019
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Mailing Address
DR. ROBERTO ANTONIO MIRANDA SANTIAGO M.D.
PO BOX 603898
CHARLOTTE, NC 28260-3898
Phone number: 843-792-6200
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