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1689272593
KRISTY NICHOLE YOUNGBLOOD
GREENVILLE, SC
NPI
1689272593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
KRISTY NICHOLE YOUNGBLOOD PTA
511 W BUTLER RD
GREENVILLE, SC 29607-4833
Phone number: 864-757-9918
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Mailing Address
KRISTY NICHOLE YOUNGBLOOD PTA
219 GERALD DR
SIMPSONVILLE, SC 29681-4111
Phone number: 864-757-9918
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