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1336603059
DIANA WEST
FLORENCE, SC
NPI
1336603059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1726)
Enumeration Date
2019-01-27
Last Update Date
2019-01-27
Business Address
DIANA WEST PTA
300 S DARGAN ST
FLORENCE, SC 29506-2537
Phone number: 843-777-3050
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Mailing Address
DIANA WEST PTA
300 S DARGAN ST
FLORENCE, SC 29506-2537
Phone number: 843-777-3050
Copy
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