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1912095423
PAUL SANDERS
COLUMBIA, SC
NPI
1912095423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: NCCPA#1027537)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Mr. PAUL SANDERS PA-C
4500 STUART ST MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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Mailing Address
Mr. PAUL SANDERS PA-C
4500 STUART STREET, MONCRIEF ARMY HOSPITAL ATTN:MCXL-PQ(CREDENTIALS)
FORT JACKSON, SC 29207-5720
Phone number: 803-751-2618
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