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1306062898
KIMBERLY JEWELL EDGREN
WEST COLUMBIA, SC
NPI
1306062898
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Former Name
KIMBERLY ANN JEWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 1918)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
MRS. KIMBERLY JEWELL EDGREN PT
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
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Mailing Address
MRS. KIMBERLY JEWELL EDGREN PT
2720 SUNSET BLVD ATTN CREDENTIALING
WEST COLUMBIA, SC 29169-4810
Phone number: 803-936-7679
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