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1073914040
GRETCHEN VERGARA
FLORENCE, SC
NPI
1073914040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3126)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
GRETCHEN VERGARA
718 S DARGAN ST
FLORENCE, SC 29506-2561
Phone number: 843-673-2694
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Mailing Address
GRETCHEN VERGARA
710 ASTER DR
FLORENCE, SC 29501-7573
Phone number: 352-727-8015
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