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1760233084
DIWAS BAM
SENECA, SC
NPI
1760233084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL92418)
Enumeration Date
2024-03-27
Last Update Date
2024-07-17
Business Address
DIWAS BAM
139 LILA DOYLE DR
SENECA, SC 29672-9495
Phone number: 864-482-3483
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Mailing Address
DIWAS BAM
139 LILA DOYLE DR
SENECA, SC 29672-9495
Phone number:
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