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1366770968
DWAYNE M DUCKETT
ORANGEBURG, SC
NPI
1366770968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 1458)
Enumeration Date
2009-11-20
Last Update Date
2009-11-20
Business Address
Mr. DWAYNE M DUCKETT P.T.
1620 BROUGHTON ST
ORANGEBURG, SC 29115-4867
Phone number: 803-534-4050
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Mailing Address
Mr. DWAYNE M DUCKETT P.T.
1620 BROUGHTON ST
ORANGEBURG, SC 29115
Phone number: 803-534-4050
Copy
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