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1205584786
ASHLEY DAMUDE BLACK
ANDERSON, SC
NPI
1205584786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4797)
Enumeration Date
2022-03-14
Last Update Date
2022-03-14
Business Address
ASHLEY DAMUDE BLACK
2203 MARCHBANKS AVE
ANDERSON, SC 29621-2247
Phone number: 864-202-6469
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Mailing Address
ASHLEY DAMUDE BLACK
1204 BOILING SPRINGS RD
GREER, SC 29650-4107
Phone number: 419-612-6392
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