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1083986939
WALTER MAGILL BURNETT
COLUMBIA, SC
NPI
1083986939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2734)
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
Mr. WALTER MAGILL BURNETT PTA
1519 TAYLOR ST
COLUMBIA, SC 29201-2918
Phone number: 803-779-8327
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Mailing Address
Mr. WALTER MAGILL BURNETT PTA
1519 TAYLOR ST
COLUMBIA, SC 29201-2918
Phone number: 803-779-8327
Copy
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