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1124140819
CRYSTAL ALCORN
LAKE CITY, SC
NPI
1124140819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2300)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- CRYSTAL ALCORN
318 E MAIN ST
LAKE CITY, SC 29560-2116
Phone number: 843-374-3353
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Mailing Address
-- CRYSTAL ALCORN
5520 COUNTRY LN
TIMMONSVILLE, SC 29161-8399
Phone number:
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