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1356614242
MARY ALEX VERISSIMO
NORTH CHARLESTON, SC
NPI
1356614242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070018923)
Enumeration Date
2012-02-23
Last Update Date
2018-10-03
Business Address
MARY ALEX VERISSIMO DPT
2070 NORTHBROOK BLVD STE B4
NORTH CHARLESTON, SC 29406-9254
Phone number: 843-569-3033
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Mailing Address
MARY ALEX VERISSIMO DPT
2070 NORTHBROOK BLVD STE B4
NORTH CHARLESTON, SC 29406-9254
Phone number:
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