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1063626802
DONNA GAIL DIEDRICH
FORT MILL, SC
NPI
1063626802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: SC 1697)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mrs. DONNA GAIL DIEDRICH Physical Therapist
104 MARSHALL ST
FORT MILL, SC 29715-1816
Phone number: 803-547-6817
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Mailing Address
Mrs. DONNA GAIL DIEDRICH Physical Therapist
104 MARSHALL ST
FORT MILL, SC 29715-1816
Phone number: 803-547-6817
Copy
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