MICHAEL DESAUTELS

COLUMBIA, SC
NPI1376856831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: SC  1607)
Enumeration Date2010-07-26
Last Update Date2010-07-26
Business Address
-- MICHAEL DESAUTELS OD
5580 FOREST DR STE. 118
COLUMBIA, SC 29206-5000
Phone number: 803-678-4662
Mailing Address
-- MICHAEL DESAUTELS OD
5580 FOREST DR STE. 118
COLUMBIA, SC 29206-5000
Phone number: 803-678-4662
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