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1760895833
JACOB KINGSTON
NORTH CHARLESTON, SC
NPI
1760895833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7395)
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
-- JACOB KINGSTON DPT
2070 NORTHBROOK BLVD
NORTH CHARLESTON, SC 29406-9252
Phone number: 843-824-2183
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Mailing Address
-- JACOB KINGSTON DPT
586 LONE TREE DR
MOUNT PLEASANT, SC 29464-8170
Phone number: 843-884-7880
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