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1962503516
DONALD WAYNE VANN
CHARLESTON, SC
NPI
1962503516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 1009290)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. DONALD WAYNE VANN PA
109 BEE ST
CHARLESTON, SC 29401-5703
Phone number: 843-577-5011
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Mailing Address
Mr. DONALD WAYNE VANN PA
4929 HIDEAWAY POINTE
HOLLYWOOD, SC 29449
Phone number: 843-573-9020
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