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1508176843
CAROL NICHOLE LEIDIG
ANDERSON, SC
NPI
1508176843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 6267)
Enumeration Date
2010-10-20
Last Update Date
2010-10-20
Business Address
-- CAROL NICHOLE LEIDIG
800 N FANT ST
ANDERSON, SC 29621-5708
Phone number: 864-512-1198
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Mailing Address
-- CAROL NICHOLE LEIDIG
800 N FANT ST
ANDERSON, SC 29621-5708
Phone number: 864-512-1417
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