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1891063160
DWAYNE ANSEL KING
WEST COLUMBIA, SC
NPI
1891063160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: SC 6563)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- DWAYNE ANSEL KING PT
132 B SUNSET COURT
WEST COLUMBIA, SC 29169-2429
Phone number: 803-796-5116
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Mailing Address
-- DWAYNE ANSEL KING PT
132 B SUNSET COURT
WEST COLUMBIA, SC 29169-2429
Phone number: 803-796-5116
Copy
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