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1780425009
LOTERIA PACK
WEST COLUMBIA, SC
NPI
1780425009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2094)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
LOTERIA PACK
1 STILL HOPES DR
WEST COLUMBIA, SC 29169-7164
Phone number: 803-796-5040
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Mailing Address
LOTERIA PACK
2724 PLATT SPRINGS RD
WEST COLUMBIA, SC 29170-3521
Phone number:
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