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1790328839
MICHELLE SHULL
COLUMBIA, SC
NPI
1790328839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-10-22
Last Update Date
2019-10-22
Business Address
MICHELLE SHULL PTA
1910 BLANDING ST
COLUMBIA, SC 29201-3520
Phone number: 803-256-4107
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Mailing Address
MICHELLE SHULL PTA
1910 BLANDING ST
COLUMBIA, SC 29201-3520
Phone number:
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