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1073235636
CEDRIC MICHAEL ROGERS
MYRTLE BEACH, SC
NPI
1073235636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4735)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
CEDRIC MICHAEL ROGERS PTA
210 VILLAGE CENTER BLVD
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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Mailing Address
CEDRIC MICHAEL ROGERS PTA
511 HINSON DR APT 136
MYRTLE BEACH, SC 29579-4443
Phone number: 910-674-8138
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