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1912541970
JORDAN DALE CASPER
ANDERSON, SC
NPI
1912541970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9918)
Enumeration Date
2019-11-03
Last Update Date
2019-11-03
Business Address
JORDAN DALE CASPER PT
2005 E GREENVILLE ST STE 119
ANDERSON, SC 29621-1575
Phone number: 864-964-0505
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Mailing Address
JORDAN DALE CASPER PT
102 CALEDON CT
GREENVILLE, SC 29615-3129
Phone number: 706-206-3230
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