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1659054948
MICHAEL MAILUM
CHARLESTON, SC
NPI
1659054948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5115)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
MICHAEL MAILUM PT
1451 TOBIAS GADSON BLVD APT 210
CHARLESTON, SC 29407-4775
Phone number: 843-200-1878
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Mailing Address
MICHAEL MAILUM PT
1273 REMOUNT RD
NORTH CHARLESTON, SC 29406-3439
Phone number: 843-200-1878
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