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1407294150
REBECCA WALLIS MOORE
SUMTER, SC
NPI
1407294150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7052)
Enumeration Date
2013-06-04
Last Update Date
2013-06-04
Business Address
Miss REBECCA WALLIS MOORE
2825 CARTER RD
SUMTER, SC 29150-1712
Phone number: 803-469-7007
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Mailing Address
Miss REBECCA WALLIS MOORE
414 ARNOLD AVE
SUMTER, SC 29150-3838
Phone number: 843-209-6792
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