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1528550118
MICHAEL DONOVAN ISREAL
COLUMBIA, SC
NPI
1528550118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9132)
Enumeration Date
2018-05-31
Last Update Date
2022-02-14
Business Address
MICHAEL DONOVAN ISREAL DPT
3300 FOREST DR
COLUMBIA, SC 29204-4065
Phone number: 803-787-3143
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Mailing Address
MICHAEL DONOVAN ISREAL DPT
3250 HARDEN STREET EXT STE 100
COLUMBIA, SC 29203-6842
Phone number: 803-509-6389
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