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1508024704
DEDRA SIMMONS
SUMMERVILLE, SC
NPI
1508024704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 5587)
Enumeration Date
2008-05-26
Last Update Date
2008-05-26
Business Address
-- DEDRA SIMMONS
10160 DORCHESTER RD
SUMMERVILLE, SC 29485-8527
Phone number: 843-851-5820
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Mailing Address
-- DEDRA SIMMONS
10160 DORCHESTER RD
SUMMERVILLE, SC 29485-8527
Phone number: 843-851-5820
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