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1861063448
MICAH J PUTNAM
COLUMBIA, SC
NPI
1861063448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 12330675-9922)
Enumeration Date
2021-07-06
Last Update Date
2021-07-06
Business Address
MICAH J PUTNAM
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-4512
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Mailing Address
MICAH J PUTNAM
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number:
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