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1164627626
ASHLEY V JERRY
WEST COLUMBIA, SC
NPI
1164627626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2096)
Enumeration Date
2007-06-15
Last Update Date
2007-07-08
Business Address
ASHLEY V JERRY PTA
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 803-939-0026
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Mailing Address
ASHLEY V JERRY PTA
1327 TROJAN RD
MONETTA, SC 29105-9309
Phone number: 803-295-8293
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