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1477820645
MARY JANE TAGABI SISON
ORANGEBURG, SC
NPI
1477820645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 2855)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
Ms. MARY JANE TAGABI SISON PT
1895 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-2403
Phone number: 803-395-2600
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Mailing Address
Ms. MARY JANE TAGABI SISON PT
208 BAYBERRY CT
WEST COLUMBIA, SC 29170-2400
Phone number: 803-957-0666
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