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1972963734
ASHLEY M FANN
COLUMBIA, SC
NPI
1972963734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7463)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- ASHLEY M FANN D.P.T.
1624 MAIN ST
COLUMBIA, SC 29201-2818
Phone number: 803-454-0365
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Mailing Address
-- ASHLEY M FANN D.P.T.
411 BURNAGE WAY APR. 307
ROCK HILL, SC 29730-7847
Phone number: 256-509-4154
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