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1982753091
DEBRA M IACONO
CAYCE, SC
NPI
1982753091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 1915)
Enumeration Date
2007-01-09
Last Update Date
2018-09-20
Business Address
DEBRA M IACONO PT
3799 12TH STREET EXT STE 100
CAYCE, SC 29033-3750
Phone number: 803-926-6810
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Mailing Address
DEBRA M IACONO PT
PO BOX 896239
CHARLOTTE, NC 28289-6239
Phone number: 803-926-6810
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