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1649686908
KEVIN PORTER
GAFFNEY, SC
NPI
1649686908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1695)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- KEVIN PORTER
636 11TH ST
GAFFNEY, SC 29340-4836
Phone number: 864-491-7533
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Mailing Address
-- KEVIN PORTER
636 11TH ST
GAFFNEY, SC 29340-4836
Phone number: 864-491-7533
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