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1356537500
DAIL WILSON LONGAKER
COLUMBIA, SC
NPI
1356537500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: SC 4865)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
Dr. DAIL WILSON LONGAKER MD
4614 PERRY CT
COLUMBIA, SC 29206-4516
Phone number: 803-782-4549
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Mailing Address
Dr. DAIL WILSON LONGAKER MD
4614 PERRY CT
COLUMBIA, SC 29206-4516
Phone number: 803-782-4549
Copy
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