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1144343088
AMANDA ROXANNE LUM
GREENVILLE, SC
NPI
1144343088
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Former Name
AMANDA ROXANNE BURNS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1854)
Enumeration Date
2007-04-07
Last Update Date
2007-07-08
Business Address
MRS. AMANDA ROXANNE LUM PTA
536 OLD HOWELL RD
GREENVILLE, SC 29615-1969
Phone number: 877-508-3237
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Mailing Address
MRS. AMANDA ROXANNE LUM PTA
309 RED HILL RD
PICKENS, SC 29671-9188
Phone number: 864-878-8127
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