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1669710489
TYRONE DAVIS
MYRTLE BEACH, SC
NPI
1669710489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2898)
Enumeration Date
2013-01-29
Last Update Date
2013-01-29
Business Address
TYRONE DAVIS
201 BRIGHTWATER DR
MYRTLE BEACH, SC 29579-8298
Phone number: 843-903-8958
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Mailing Address
TYRONE DAVIS
117 BREAKERS DR UNIT 232
MYRTLE BEACH, SC 29579-4428
Phone number:
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