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1801971742
JERRILYN JUNE BEASLEY
LITTLE RIVER, SC
NPI
1801971742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 256)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- JERRILYN JUNE BEASLEY
4237 RIVER HILLS DR SUITE 120
LITTLE RIVER, SC 29566-6444
Phone number: 843-249-5616
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Mailing Address
-- JERRILYN JUNE BEASLEY
4294 PINEHURST CIR C2
LITTLE RIVER, SC 29566-8368
Phone number: 843-455-3698
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