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1881962165
CARRIE BOAN
AIKEN, SC
NPI
1881962165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1437)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- CARRIE BOAN PTA
6140 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803-3820
Phone number: 803-642-0700
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Mailing Address
-- CARRIE BOAN PTA
6140 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803-3820
Phone number: 803-642-0700
Copy
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