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1386758928
MARK STEVAN MANCZUK
COLUMBIA, SC
NPI
1386758928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 2422)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Mr. MARK STEVAN MANCZUK CRNA
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
Mr. MARK STEVAN MANCZUK CRNA
2 GRANVILLE RD
COLUMBIA, SC 29209-2236
Phone number: 803-783-9798
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