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1033488507
KIMBERLY WAYNE HAYWOOD
GREENVILLE, SC
NPI
1033488507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2712)
Enumeration Date
2011-12-29
Last Update Date
2011-12-29
Business Address
KIMBERLY WAYNE HAYWOOD PTA
9 MAPLE TREE CT SUITE A
GREENVILLE, SC 29615-4070
Phone number: 864-286-8288
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Mailing Address
KIMBERLY WAYNE HAYWOOD PTA
10 LAKE RIDGE DR
GREENVILLE, SC 29611-6642
Phone number: 864-979-8406
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