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1730272410
JOSE A LUIS
AIKEN, SC
NPI
1730272410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME34113)
Enumeration Date
2006-10-02
Last Update Date
2009-05-08
Business Address
Dr. JOSE A LUIS md
74 PHYSICIAN DR. AIKEN PEDIATRICS, P.A.
AIKEN, SC 29801-6388
Phone number: 803-649-0578
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Mailing Address
Dr. JOSE A LUIS md
PO BOX 557367
MIAMI, FL 33255
Phone number: 786-624-5845
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