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1376856831
MICHAEL DESAUTELS
COLUMBIA, SC
NPI
1376856831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1607)
Enumeration Date
2010-07-26
Last Update Date
2010-07-26
Business Address
-- MICHAEL DESAUTELS OD
5580 FOREST DR STE. 118
COLUMBIA, SC 29206-5000
Phone number: 803-678-4662
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Mailing Address
-- MICHAEL DESAUTELS OD
5580 FOREST DR STE. 118
COLUMBIA, SC 29206-5000
Phone number: 803-678-4662
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