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1477644722
MARC J STEVENS
COLUMBIA, SC
NPI
1477644722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: WA LD00002104)
Enumeration Date
2006-09-28
Last Update Date
2007-07-09
Business Address
Mr. MARC J STEVENS
4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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Mailing Address
Mr. MARC J STEVENS
219 ASHLEY PLACE RD
COLUMBIA, SC 29229-9627
Phone number: 803-234-4416
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