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1912104563
JENNIFER CROCKER
FLORENCE, SC
NPI
1912104563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2067)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
MS. JENNIFER CROCKER PTA
555 E CHEVES ST
FLORENCE, SC 29506-2617
Phone number: 843-777-2000
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Mailing Address
MS. JENNIFER CROCKER PTA
504 S MCQUEEN ST
FLORENCE, SC 29501-5120
Phone number: 843-601-6031
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