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1184122368
COURTNIE CANNON LICHTENFELT
GREENVILLE, SC
NPI
1184122368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3885)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
COURTNIE CANNON LICHTENFELT PTA
850 E BUTLER RD
GREENVILLE, SC 29607-5842
Phone number: 864-675-6421
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Mailing Address
COURTNIE CANNON LICHTENFELT PTA
110 MORGAN CIR
SIMPSONVILLE, SC 29681-2029
Phone number:
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