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1588690465
MICHAEL OWEN CONGDON
BEAUFORT, SC
NPI
1588690465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-06-23
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL OWEN CONGDON IDC
1 PINCKNEY BLVD
BEAUFORT, SC 29902-6122
Phone number: 843-228-2318
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Mailing Address
Mr. MICHAEL OWEN CONGDON IDC
50 TELFAIR DR
BEAUFORT, SC 29907-1349
Phone number: 843-379-5195
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