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1699188912
MICHAEL LEON TJAHJADI
COLUMBIA, SC
NPI
1699188912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC LL36929)
Enumeration Date
2014-06-04
Last Update Date
2014-06-04
Business Address
-- MICHAEL LEON TJAHJADI MD
14 MEDICAL PARK STE 400 PEDIATRIC OUTPATIENT CLINIC
COLUMBIA, SC 29203
Phone number: 803-434-6155
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Mailing Address
-- MICHAEL LEON TJAHJADI MD
14 MEDICAL PARK STE 400 PEDIATRIC OUTPATIENT CLINIC
COLUMBIA, SC 29203
Phone number: 803-434-6155
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