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Individual

MR. MARQUES A FOBBS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
264 HAIGS CRK N, ELGIN, SC 29045-8328
(803) 718-2164
(803) 729-4232
Mailing address
264 HAIGS CRK N, ELGIN, SC 29045-8328
(803) 718-2164
(803) 729-4232

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8080
SC

Other

Enumeration date
08/20/2012
Last updated
08/20/2012
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