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1447632997
MARSHAL EDRADA
LEXINGTON, SC
NPI
1447632997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 2878)
Enumeration Date
2015-06-22
Last Update Date
2015-06-22
Business Address
-- MARSHAL EDRADA PTA
104 SALUDA POINTE DR
LEXINGTON, SC 29072-7295
Phone number: 803-227-8008
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Mailing Address
-- MARSHAL EDRADA PTA
318 WELSUMMER WAY
LEXINGTON, SC 29072-2880
Phone number:
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