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1477703940
JACQUELYN F VAN DAM
LEXINGTON, SC
NPI
1477703940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: SC 22508)
Enumeration Date
2008-09-22
Last Update Date
2008-09-22
Business Address
-- JACQUELYN F VAN DAM MD
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-227-8000
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Mailing Address
-- JACQUELYN F VAN DAM MD
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-227-8000
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