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1174170542
OCTAVIA & MAIN, LLC
MT PLEASANT, SC
NPI
1174170542
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Entity Type
Organization
Authorized Contact
MARC A. BROOKS
Member
919-986-2962
Organization Subpart ?
No
Primary Taxonomy
225XM0800X Occupational Therapist Mental Health
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
OCTAVIA & MAIN, LLC
1131 QUEENSBOROUGH BLVD STE 100
MT PLEASANT, SC 29464-5430
Phone number: 843-606-6223
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Mailing Address
OCTAVIA & MAIN, LLC
910 STRATHORN DR
CARY, NC 27519-8842
Phone number: 919-986-2962
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