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1639924277
JESSIE MIZZELL
ORANGEBURG, SC
NPI
1639924277
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Former Name
JESSIE FUNCHESS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 12212)
Enumeration Date
2024-04-18
Last Update Date
2024-04-24
Business Address
JESSIE MIZZELL PT/DPT
119 OFFICE PARK DR
ORANGEBURG, SC 29118-2407
Phone number: 803-937-5605
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Mailing Address
JESSIE MIZZELL PT/DPT
3374 RAILROAD AVE
BAMBERG, SC 29003-8248
Phone number: 803-245-0808
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