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1023576485
HAGEN LEVENTIS BALOG
WEST COLUMBIA, SC
NPI
1023576485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 5502)
Enumeration Date
2019-03-05
Last Update Date
2024-01-31
Business Address
HAGEN LEVENTIS BALOG OTR/L
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
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Mailing Address
HAGEN LEVENTIS BALOG OTR/L
215 CLEARBROOK CIR
LEXINGTON, SC 29072-4403
Phone number: 803-730-5202
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