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1144934266
COASTAL CLEMSON ENTERPRISE LLC
MONCKS CORNER, SC
NPI
1144934266
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Entity Type
Organization
Authorized Contact
NATHAN CLEMSON
Owner
678-978-2395
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
COASTAL CLEMSON ENTERPRISE LLC
115 COOKS REST LN
MONCKS CORNER, SC 29461-8895
Phone number: 678-978-2395
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Mailing Address
COASTAL CLEMSON ENTERPRISE LLC
115 COOKS REST LN
MONCKS CORNER, SC 29461-8895
Phone number: 678-978-2395
Copy
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