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1033210141
LORI SHANNON STUBBS
EASLEY, SC
NPI
1033210141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 670)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Mrs. LORI SHANNON STUBBS PTA
712 N A ST
EASLEY, SC 29640-2142
Phone number: 864-859-4938
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Mailing Address
Mrs. LORI SHANNON STUBBS PTA
203 MCCARSON RD
MARIETTA, SC 29661-9205
Phone number: 864-836-3663
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