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1225431455
BRANDON MYCHAEL WARE
LADSON, SC
NPI
1225431455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 2196)
Enumeration Date
2014-10-02
Last Update Date
2014-10-02
Business Address
-- BRANDON MYCHAEL WARE PA-C
9565 HIGHWAY 78 SUITE 400
LADSON, SC 29456-4118
Phone number: 843-737-0437
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Mailing Address
-- BRANDON MYCHAEL WARE PA-C
9565 HIGHWAY 78 SUITE 400
LADSON, SC 29456-4118
Phone number: 843-737-0437
Copy
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