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1407081409
DARRELL MAYERS
SHAW A F B, SC
NPI
1407081409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-05-19
Last Update Date
2009-05-19
Business Address
-- DARRELL MAYERS IDMT
431 MEADOWLARK ST
SHAW A F B, SC 29152-5019
Phone number: 803-895-6624
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Mailing Address
-- DARRELL MAYERS IDMT
431 MEADOWLARK ST
SHAW A F B, SC 29152-5019
Phone number: 803-895-6624
Copy
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