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1710627617
JACK RUNNELS
SUMTER, SC
NPI
1710627617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL87542)
Enumeration Date
2022-03-30
Last Update Date
2022-07-08
Business Address
JACK RUNNELS
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9755
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Mailing Address
JACK RUNNELS
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number:
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