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1093466658
JENNIFER E BANNER
RIDGELAND, SC
NPI
1093466658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2116)
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
JENNIFER E BANNER PTA
2244 LANGFORDVILLE RD
RIDGELAND, SC 29936-3534
Phone number: 423-608-2821
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Mailing Address
JENNIFER E BANNER PTA
2244 LANGFORDVILLE RD
RIDGELAND, SC 29936-3534
Phone number: 423-608-2821
Copy
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