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1518713064
JEFFREY BROADWELL
COLUMBIA, SC
NPI
1518713064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
JEFFREY BROADWELL CPO
720 GRACERN RD STE 115
COLUMBIA, SC 29210-7658
Phone number: 803-509-6256
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Mailing Address
JEFFREY BROADWELL CPO
703 N FANT ST STE A
ANDERSON, SC 29621-5705
Phone number: 864-622-0900
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