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1881099588
KELLI YONGUE
ORANGEBURG, SC
NPI
1881099588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2517)
Enumeration Date
2014-10-24
Last Update Date
2014-10-24
Business Address
Mrs. KELLI YONGUE PTA
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 29118-1442
Phone number: 803-395-4372
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Mailing Address
Mrs. KELLI YONGUE PTA
3000 ST.MATHEWS ROAD
ORANGEBURG, SC 29118-1442
Phone number: 803-395-4372
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