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1376396630
JACOB MICHAEL DUGAL
CHARLESTON, SC
NPI
1376396630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 5366)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2024-04-08
Last Update Date
2024-07-03
Business Address
JACOB MICHAEL DUGAL
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
JACOB MICHAEL DUGAL
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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