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1629027024
EDWIN DARGAN ERVIN
MYRTLE BEACH, SC
NPI
1629027024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 678)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
Mr. EDWIN DARGAN ERVIN P.T.
3650 COALITION DR
MYRTLE BEACH, SC 29588-6183
Phone number: 843-293-7713
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Mailing Address
Mr. EDWIN DARGAN ERVIN P.T.
202 TIMBERLAKE DR
FLORENCE, SC 29501-9311
Phone number:
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