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1104135862
COLLEEN GRIFFIN HERGOTT
AIKEN, SC
NPI
1104135862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 6089)
Enumeration Date
2010-09-29
Last Update Date
2010-09-29
Business Address
-- COLLEEN GRIFFIN HERGOTT DPT
690 MEDICAL PARK DR
AIKEN, SC 29801-6348
Phone number: 803-648-8344
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Mailing Address
-- COLLEEN GRIFFIN HERGOTT DPT
758 W PORT RD
MARTINEZ, GA 30907-9531
Phone number: 706-869-9456
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