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1285250084
ANTONIA ELIZABETH JACKS
GREENVILLE, SC
NPI
1285250084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 10214)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
ANTONIA ELIZABETH JACKS PT, DPT
1007 GROVE RD STE C
GREENVILLE, SC 29605-4630
Phone number: 864-233-5128
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Mailing Address
ANTONIA ELIZABETH JACKS PT, DPT
1007 GROVE RD STE C
GREENVILLE, SC 29605-4630
Phone number: 864-233-5128
Copy
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