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1245549898
JACOB WILLIAM BOYD
LITTLE RIVER, SC
NPI
1245549898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2014)
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
Mr. JACOB WILLIAM BOYD PTA
4368 SPA DR UNIT 407
LITTLE RIVER, SC 29566-5004
Phone number: 843-650-2213
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Mailing Address
Mr. JACOB WILLIAM BOYD PTA
4368 SPA DR UNIT 407
LITTLE RIVER, SC 29566-5003
Phone number:
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