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1114574746
KETRIC NEDELEA
FOUNTAIN INN, SC
NPI
1114574746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3452)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
KETRIC NEDELEA COTA/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-408-9509
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Mailing Address
KETRIC NEDELEA COTA/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-408-9509
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