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1104859610
BRANTON RICE QUEEN
MYRTLE BEACH, SC
NPI
1104859610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT6042)
Enumeration Date
2006-07-08
Last Update Date
2022-07-20
Business Address
BRANTON RICE QUEEN PT
210 VILLAGE CENTER BLVD STE 100
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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Mailing Address
BRANTON RICE QUEEN PT
210 VILLAGE CENTER BLVD STE 140
MYRTLE BEACH, SC 29579-6706
Phone number: 843-353-3460
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