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1699892471
IAN MATTHEW FISH
IRMO, SC
NPI
1699892471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2007-03-25
Last Update Date
2007-07-08
Business Address
IAN MATTHEW FISH PTA
508 CONCORD PLACE RD
IRMO, SC 29063-7826
Phone number: 803-781-5785
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Mailing Address
IAN MATTHEW FISH PTA
508 CONCORD PLACE RD
IRMO, SC 29063-7826
Phone number: 803-781-5785
Copy
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