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1790769396
MANUEL ANTONIO FONSECA
FLORENCE, SC
NPI
1790769396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC 419)
Enumeration Date
2005-12-06
Last Update Date
2013-12-09
Business Address
Dr. MANUEL ANTONIO FONSECA DO
805 PAMPLICO HWY
FLORENCE, SC 29505-6047
Phone number: 843-674-5143
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Mailing Address
Dr. MANUEL ANTONIO FONSECA DO
947 S IRBY ST
FLORENCE, SC 29501-5238
Phone number: 843-674-5143
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