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1720482821
GINA ROSS
MYRTLE BEACH, SC
NPI
1720482821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3097)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
GINA ROSS
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579-8275
Phone number: 843-903-8300
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Mailing Address
GINA ROSS
2184 BREWSTER DR UNIT 828
MYRTLE BEACH, SC 29577-1752
Phone number: 843-455-9952
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