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1194780437
MELVIN STANAWAY
ORANGEBURG, SC
NPI
1194780437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 1043)
Enumeration Date
2006-04-19
Last Update Date
2008-04-28
Business Address
-- MELVIN STANAWAY CRNA
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-1442
Phone number: 803-454-2613
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Mailing Address
-- MELVIN STANAWAY CRNA
PO BOX 1245
ORANGEBURG, SC 29116-1245
Phone number: 803-765-1838
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