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1932492535
BERNUM BENJAMIN ASHLEY
MOORE, SC
NPI
1932492535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 2059)
Enumeration Date
2011-05-16
Last Update Date
2011-05-16
Business Address
-- BERNUM BENJAMIN ASHLEY
125 MALLARD DR
MOORE, SC 29369-9464
Phone number: 864-486-9585
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Mailing Address
-- BERNUM BENJAMIN ASHLEY
125 MALLARD DR
MOORE, SC 29369-9464
Phone number: 864-486-9585
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