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1942267968
CHARLES A WILFONG
FLORENCE, SC
NPI
1942267968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 790)
Enumeration Date
2006-04-26
Last Update Date
2017-06-02
Business Address
-- CHARLES A WILFONG OD
181 W CHEVES ST
FLORENCE, SC 29501-4401
Phone number: 843-662-0691
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Mailing Address
-- CHARLES A WILFONG OD
181 W CHEVES ST
FLORENCE, SC 29501-4401
Phone number: 843-662-0691
Copy
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