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1669702700
LEON VANCE SANDERS
LAURENS, SC
NPI
1669702700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2198)
Enumeration Date
2010-01-13
Last Update Date
2010-01-13
Business Address
Mr. LEON VANCE SANDERS PTA/L
301 PINEHAVEN STREET EXT
LAURENS, SC 29360-2671
Phone number: 864-984-6584
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Mailing Address
Mr. LEON VANCE SANDERS PTA/L
301 PINEHAVEN STREET EXT
LAURENS, SC 29360-2671
Phone number: 864-984-6584
Copy
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