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1295035947
CODIE A SHEPPARD
GREENVILLE, SC
NPI
1295035947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1888)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
-- CODIE A SHEPPARD PTA
1306 PELHAM RD
GREENVILLE, SC 29615-3600
Phone number: 864-329-1553
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Mailing Address
-- CODIE A SHEPPARD PTA
1306 PELHAM RD
GREENVILLE, SC 29615-3600
Phone number: 864-329-1553
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