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1326148834
EDGAR ANGEL LABRADOR
COLUMBIA, SC
NPI
1326148834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 1179)
Enumeration Date
2006-09-24
Last Update Date
2007-07-08
Business Address
Mr. EDGAR ANGEL LABRADOR anp
4500 STUART ST ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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Mailing Address
Mr. EDGAR ANGEL LABRADOR anp
4500 STUART ST ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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