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1912692013
KEEGAN FERNANDES
SUMTER, SC
NPI
1912692013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL89933)
Enumeration Date
2023-04-06
Last Update Date
2023-07-07
Business Address
KEEGAN FERNANDES
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9755
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Mailing Address
KEEGAN FERNANDES
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number:
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