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1861877003
BENJAMIN DEPPEN
ANDERSON, SC
NPI
1861877003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7855)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
-- BENJAMIN DEPPEN
2005 E GREENVILLE ST
ANDERSON, SC 29621-1575
Phone number: 864-964-0505
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Mailing Address
-- BENJAMIN DEPPEN
2005 E GREENVILLE ST
ANDERSON, SC 29621-1575
Phone number:
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