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1700309259
ETHAN SOWELL
ANDERSON, SC
NPI
1700309259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 8636)
Enumeration Date
2017-07-17
Last Update Date
2022-07-21
Business Address
ETHAN SOWELL
120 MUTUAL DR
ANDERSON, SC 29621-1767
Phone number: 864-261-3313
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Mailing Address
ETHAN SOWELL
120 MUTUAL DR
ANDERSON, SC 29621-1767
Phone number: 864-261-3313
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