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1275899866
SPROUT PEDIATRICS LLC
IRMO, SC
NPI
1275899866
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Entity Type
Organization
Authorized Contact
RHYNO COETSEE
Administrator
803-361-6995
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 2940)
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
SPROUT PEDIATRICS LLC
108 BELFAIR RD
IRMO, SC 29063-8040
Phone number: 803-361-6995
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Mailing Address
SPROUT PEDIATRICS LLC
108 BELFAIR RD
IRMO, SC 29063-8040
Phone number: 803-361-6995
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