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1790319408
CONSULTORIO MEDICO LATINO
NORTH CHARLESTON, SC
NPI
1790319408
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Entity Type
Organization
Authorized Contact
STEPHANIE JAQUEZ
Sole Mbr
843-735-1887
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-03-03
Last Update Date
2021-07-06
Business Address
CONSULTORIO MEDICO LATINO
2810 ASHLEY PHOSPHATE RD STE B4
NORTH CHARLESTON, SC 29418-6406
Phone number: 843-553-7744
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Mailing Address
CONSULTORIO MEDICO LATINO
2810 ASHLEY PHOSPHATE RD STE B4
NORTH CHARLESTON, SC 29418-6406
Phone number: 843-553-7744
Copy
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