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1598967259
FREDERICK EARLE BROGDON
SUMTER, SC
NPI
1598967259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC 2156)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Dr. FREDERICK EARLE BROGDON DMD
634 BULTMAN DR
SUMTER, SC 29150-2550
Phone number: 803-775-4368
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Mailing Address
Dr. FREDERICK EARLE BROGDON DMD
460 PRINGLE DR
SUMTER, SC 29150-3235
Phone number: 803-775-3440
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