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1740385616
NICOLE SANFACON KLUCKHOHN
GREER, SC
NPI
1740385616
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Former Name
NICOLE SANFACON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 3529)
Enumeration Date
2006-09-14
Last Update Date
2020-08-18
Business Address
NICOLE SANFACON KLUCKHOHN PT
225 BALLYHOO CT
GREER, SC 29651-4914
Phone number: 864-907-5324
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Mailing Address
NICOLE SANFACON KLUCKHOHN PT
401 BROOKFIELD PKWY STE 500A
GREENVILLE, SC 29607-5795
Phone number: 864-549-0017
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