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1326511890
ADAM DOUGLAS PAXTON
IRMO, SC
NPI
1326511890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9527)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2019-01-08
Last Update Date
2024-10-09
Business Address
ADAM DOUGLAS PAXTON
1320 DUTCH FORK RD STE A
IRMO, SC 29063-8825
Phone number: 803-314-5450
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Mailing Address
ADAM DOUGLAS PAXTON
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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