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1285090423
JEFFREY MIRRIELEES
CHARLESTON, SC
NPI
1285090423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: SC 8680)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
-- JEFFREY MIRRIELEES
808 WAPPOO RD
CHARLESTON, SC 29407-5865
Phone number: 843-818-5437
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Mailing Address
-- JEFFREY MIRRIELEES
808 WAPPOO RD
CHARLESTON, SC 29407-5865
Phone number: 843-818-5437
Copy
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