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1174291314
JESSADA KANIKNUNT
FORT MILL, SC
NPI
1174291314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 2712)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
JESSADA KANIKNUNT
3041 DREWSKY LN UNIT 101
FORT MILL, SC 29715-0106
Phone number: 803-370-5117
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Mailing Address
JESSADA KANIKNUNT
3041 DREWSKY LN UNIT 101
FORT MILL, SC 29715-0106
Phone number: 803-370-5117
Copy
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