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1689700106
TAQUANA BERNETTA HOGAN
WEST COLUMBIA, SC
NPI
1689700106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1958)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mrs. TAQUANA BERNETTA HOGAN PTA
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
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Mailing Address
Mrs. TAQUANA BERNETTA HOGAN PTA
21 BOY SCOUT CT
AUGUSTA, GA 30909-2076
Phone number: 893-312-4670
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