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1982065371
BRIANA BACON
WEST COLUMBIA, SC
NPI
1982065371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 8053)
Enumeration Date
2016-03-11
Last Update Date
2016-03-11
Business Address
BRIANA BACON
3634A SUNSET BLVD
WEST COLUMBIA, SC 29169
Phone number: 803-451-0244
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Mailing Address
BRIANA BACON
PO BOX 3408
IRMO, SC 29063-4015
Phone number: 803-422-0247
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