JASON FULLER

SENECA, SC
NPI1134290331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  5295)
Enumeration Date2006-11-11
Last Update Date2007-12-04
Business Address
JASON FULLER DPT
12023 NORTH RADIO STATION RD. STE A
SENECA, SC 29678-0929
Phone number: 864-985-0770
Mailing Address
JASON FULLER DPT
101 CROSS CREEK CT APT B
CENTRAL, SC 29630-4108
Phone number: 931-261-5569
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