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1922499755
DALE KUKLA
N CHARLESTON, SC
NPI
1922499755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 4916)
Enumeration Date
2015-02-16
Last Update Date
2016-02-10
Business Address
-- DALE KUKLA P.T
5524 GALLATIN LN
N CHARLESTON, SC 29420-6803
Phone number: 843-906-7169
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Mailing Address
-- DALE KUKLA P.T
5524 GALLATIN LN
N CHARLESTON, SC 29420-6803
Phone number: 843-906-7169
Copy
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