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1376834275
JONATHAN BRIAN BALDWIN
MYRTLE BEACH, SC
NPI
1376834275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 6044)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
JONATHAN BRIAN BALDWIN P.T.
100 PRATHER PARK DR SUITE A
MYRTLE BEACH, SC 29588-7910
Phone number: 843-742-5701
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Mailing Address
JONATHAN BRIAN BALDWIN P.T.
100 PRATHER PARK DR STE A
MYRTLE BEACH, SC 29588-7910
Phone number: 843-742-5791
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