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1861440091
LEALAND K FAGAN
LANDRUM, SC
NPI
1861440091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: SC 2661)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- LEALAND K FAGAN
900 E RUTHERFORD ST
LANDRUM, SC 29356-1725
Phone number: 864-316-4611
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Mailing Address
-- LEALAND K FAGAN
PO BOX 207 900 E RUTHERFORD ST
LANDRUM, SC 29356-0207
Phone number: 864-316-4611
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