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1316181100
TRACEY L MANASCO
MONCKS CORNER, SC
NPI
1316181100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 4479)
Enumeration Date
2009-04-24
Last Update Date
2009-04-24
Business Address
-- TRACEY L MANASCO
412 DRIVE IN LANE, UNIT D
MONCKS CORNER, SC 29461
Phone number: 843-761-6732
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Mailing Address
-- TRACEY L MANASCO
2347 TALL SAIL DR APT L
CHARLESTON, SC 29414-6639
Phone number: 843-364-1747
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