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Individual

DR. DEBORAH MARIE MILANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
7839 BROAD RIVER ROAD, IRMO, SC 29063
(803) 732-3996
(803) 407-0081
Mailing address
7839 BROAD RIVER ROAD, IRMO, SC 29063
(803) 732-3996
(803) 407-0081

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1953
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350052339
RAILROAD MEDICARE
01
561971088
CNC TAX ID
05
CH1953
SC
Enumeration date
04/26/2006
Last updated
10/10/2012
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