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1184719494
MELINDA WILT
FOUNTAIN INN, SC
NPI
1184719494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 1937)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- MELINDA WILT COTA/L
501 GULLIVER ST
FOUNTAIN INN, SC 29644-2105
Phone number: 864-862-2554
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Mailing Address
-- MELINDA WILT COTA/L
27 HARMONY CIR
FOUNTAIN INN, SC 29644-1661
Phone number: 864-862-5506
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