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1053504936
MODESTYNE YVONNE MASON
COLUMBIA, SC
NPI
1053504936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 792)
Enumeration Date
2007-08-23
Last Update Date
2007-10-11
Business Address
Ms. MODESTYNE YVONNE MASON OTR L
201 S HIGHLAND FOREST DR
COLUMBIA, SC 29203-1952
Phone number: 803-786-5949
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Mailing Address
Ms. MODESTYNE YVONNE MASON OTR L
201 S HIGHLAND FOREST DR
COLUMBIA, SC 29203-1952
Phone number: 803-786-5949
Copy
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