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1164807293
HEAVEN POWELL
BEAUFORT, SC
NPI
1164807293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7868)
Enumeration Date
2015-07-30
Last Update Date
2015-11-20
Business Address
HEAVEN POWELL
1076 RIBAUT RD SUITE 102
BEAUFORT, SC 29902-5476
Phone number: 843-521-1970
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Mailing Address
HEAVEN POWELL
1076 RIBAUT RD SUITE 102
BEAUFORT, SC 29902-5476
Phone number: 843-521-1970
Copy
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