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1649255316
MICHAEL S OTRUBA
LADSON, SC
NPI
1649255316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 000312)
Enumeration Date
2005-12-14
Last Update Date
2019-08-01
Business Address
MICHAEL S OTRUBA D.O.
161 TWO POND LOOP
LADSON, SC 29456-6917
Phone number: 843-475-1020
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Mailing Address
MICHAEL S OTRUBA D.O.
161 TWO POND LOOP
LADSON, SC 29456-6917
Phone number:
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