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1003901547
JOSHUA CHRISTIAN LONG
MT PLEASANT, SC
NPI
1003901547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5126)
Enumeration Date
2006-10-03
Last Update Date
2014-07-15
Business Address
Mr. JOSHUA CHRISTIAN LONG PT
1469 APPLING DR
MT PLEASANT, SC 29464-4688
Phone number: 843-614-7429
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Mailing Address
Mr. JOSHUA CHRISTIAN LONG PT
1469 APPLING DR
MT PLEASANT, SC 29464-4688
Phone number: 843-614-7429
Copy
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