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1346211455
JORGE POLANCO
CLYDE, NC
NPI
1346211455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NC 200201300)
Enumeration Date
2006-01-27
Last Update Date
2009-03-17
Business Address
-- JORGE POLANCO MD
262 LEROY GEORGE DR
CLYDE, NC 28721-7430
Phone number: 843-237-3378
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Mailing Address
-- JORGE POLANCO MD
PO BOX 60274
CHARLOTTE, NC 28260-0274
Phone number: 843-237-3378
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