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1548615933
MARK BRIAN KRIEBEL
PAWLEYS ISLAND, SC
NPI
1548615933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3469)
Enumeration Date
2016-05-04
Last Update Date
2016-05-04
Business Address
-- MARK BRIAN KRIEBEL
120 LAKES AT LITCHFIELD DR
PAWLEYS ISLAND, SC 29585-9001
Phone number: 843-353-6419
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Mailing Address
-- MARK BRIAN KRIEBEL
842 INDIANOLA CT
MYRTLE BEACH, SC 29579-4296
Phone number: 843-267-5456
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