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1235508839
MARISOL PAIGE ANN CLARK
IRMO, SC
NPI
1235508839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7916)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- MARISOL PAIGE ANN CLARK DPT
7467 SAINT ANDREWS RD SUITE 9
IRMO, SC 29063-2875
Phone number: 803-749-5031
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Mailing Address
-- MARISOL PAIGE ANN CLARK DPT
7467 SAINT ANDREWS RD SUITE 9
IRMO, SC 29063-2875
Phone number: 803-749-5031
Copy
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