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1124767082
THERESA LYNN PAQUETTE
MYRTLE BEACH, SC
NPI
1124767082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7713)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
THERESA LYNN PAQUETTE PT
2200 CROW LN
MYRTLE BEACH, SC 29577-1663
Phone number: 860-416-8617
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Mailing Address
THERESA LYNN PAQUETTE PT
PO BOX 421718
GEORGETOWN, SC 29442-4203
Phone number:
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