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1205475993
SUSANNE SHAW JANSEN
ANDERSON, SC
NPI
1205475993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 10059)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
SUSANNE SHAW JANSEN PT, DPT
2005 E GREENVILLE ST STE 119
ANDERSON, SC 29621-1575
Phone number: 864-964-0505
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Mailing Address
SUSANNE SHAW JANSEN PT, DPT
607 VISAGE DR
ANDERSON, SC 29626-4054
Phone number: 864-934-1837
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