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1760155816
KIMBERLY DIANE EDDY
MYRTLE BEACH, SC
NPI
1760155816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1057)
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
KIMBERLY DIANE EDDY PTA
5050 WINDSOR GREEN WAY UNIT 104
MYRTLE BEACH, SC 29579-1810
Phone number: 843-325-6278
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Mailing Address
KIMBERLY DIANE EDDY PTA
5050 WINDSOR GREEN WAY UNIT 104
MYRTLE BEACH, SC 29579-1810
Phone number: 843-325-6278
Copy
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