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1497229124
FRED L. EVANS
FLORENCE, SC
NPI
1497229124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3241)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
MR. FRED L. EVANS PTA
2439 WILLWOOD DR.
FLORENCE, SC 29501
Phone number: 843-777-2196
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Mailing Address
MR. FRED L. EVANS PTA
P.O BOX 1116
LAMAR, SC 29069
Phone number: 843-616-4488
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