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1215257001
DWAYNE F. MCVICKER
COLUMBIA, SC
NPI
1215257001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 4206)
Enumeration Date
2010-06-03
Last Update Date
2010-06-03
Business Address
Mr. DWAYNE F. MCVICKER CRNA
5 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6863
Phone number: 803-434-7000
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Mailing Address
Mr. DWAYNE F. MCVICKER CRNA
5 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6863
Phone number:
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