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1477914117
JESSICA A DOUGAN
COLUMBIA, SC
NPI
1477914117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3277)
Enumeration Date
2016-03-08
Last Update Date
2023-11-06
Business Address
JESSICA A DOUGAN PTA
1624 MAIN ST
COLUMBIA, SC 29201-2818
Phone number: 803-454-0365
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Mailing Address
JESSICA A DOUGAN PTA
130 PLANTATION POINTE RD
RIDGEWAY, SC 29130-7537
Phone number: 803-422-8632
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