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1245571033
KALA LATRAL WILSON
WEST COLUMBIA, SC
NPI
1245571033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2897)
Enumeration Date
2013-03-05
Last Update Date
2013-03-05
Business Address
-- KALA LATRAL WILSON PTA
100 JOSEPH WALKER DR
WEST COLUMBIA, SC 29169-6939
Phone number: 803-796-0370
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Mailing Address
-- KALA LATRAL WILSON PTA
200 LAURENS ST
JOANNA, SC 29351-1407
Phone number: 864-923-5298
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