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1184978082
JEFFREY SCOTT DERENZO
WEST COLUMBIA, SC
NPI
1184978082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 6396)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
Dr. JEFFREY SCOTT DERENZO DPT
1900 SUNSET BLVD
WEST COLUMBIA, SC 29169-5959
Phone number: 803-926-7204
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Mailing Address
Dr. JEFFREY SCOTT DERENZO DPT
1900 SUNSET BLVD
WEST COLUMBIA, SC 29169-5959
Phone number: 803-926-7204
Copy
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