JORDAN BROWN OATES

LAURENS, SC
NPI1003186404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2707)
Enumeration Date2012-01-03
Last Update Date2013-05-09
Business Address
-- JORDAN BROWN OATES
379 PINEHAVEN STREET EXT
LAURENS, SC 29360-2672
Phone number: 864-984-6584
Mailing Address
-- JORDAN BROWN OATES
109 HUDDERS CREEK WAY
SIMPSONVILLE, SC 29680-3543
Phone number: 864-360-0102
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