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1346947603
LATOYA S JACKSON
COLUMBIA, SC
NPI
1346947603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2641)
Enumeration Date
2023-02-07
Last Update Date
2023-02-07
Business Address
LATOYA S JACKSON PTA
12 LONG GLEN CT
COLUMBIA, SC 29229-7742
Phone number: 803-747-1795
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Mailing Address
LATOYA S JACKSON PTA
12 LONG GLEN CT
COLUMBIA, SC 29229-7742
Phone number: 803-747-1795
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