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1043657000
MARIA LORENA WILSON
GREENWOOD, SC
NPI
1043657000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2352)
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
-- MARIA LORENA WILSON COTA
1125 CAMBRIDGE AVE E
GREENWOOD, SC 29646-2946
Phone number: 864-941-5563
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Mailing Address
-- MARIA LORENA WILSON COTA
1125 CAMBRIDGE AVE E
GREENWOOD, SC 29646-2946
Phone number:
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