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1104450964
GRETCHEN WIRICK
FOUNTAIN INN, SC
NPI
1104450964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5095)
Enumeration Date
2020-03-02
Last Update Date
2020-03-02
Business Address
GRETCHEN WIRICK COTA/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-408-9509
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Mailing Address
GRETCHEN WIRICK COTA/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-408-9509
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