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1376309054
JESSICA BRAZELL SANDERS
COLUMBIA, SC
NPI
1376309054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4471)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
JESSICA BRAZELL SANDERS PTA
2205 GREGG ST
COLUMBIA, SC 29201-2681
Phone number: 803-234-5214
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Mailing Address
JESSICA BRAZELL SANDERS PTA
12 SHAGGY BARK CT
ELGIN, SC 29045-8530
Phone number: 803-200-4768
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