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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Karesh, Edmund L. | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| NPI | 1720118474 · 1730125147 | [sources] | |||
| Sector | Dental Practice - Dentist | [sources] | |||
| Status | not available | [sources] | |||
| Address | Charleston, SC 29407 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded from South Carolina's Medicaid program.
United States of America · SCDHHS
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