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1003547142
KELLY BRYCE JANSEN
WEST COLUMBIA, SC
NPI
1003547142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 2223)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
Mr. KELLY BRYCE JANSEN OTR/L
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
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Mailing Address
Mr. KELLY BRYCE JANSEN OTR/L
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number:
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