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1194246488
ANTHONY PAUL EGAN
COLUMBIA, SC
NPI
1194246488
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Other Name
TONY EGAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3418)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
MR. ANTHONY PAUL EGAN COTA/L
208 EASCOTT PL STE 100
COLUMBIA, SC 29229-5500
Phone number: 803-250-1403
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Mailing Address
MR. ANTHONY PAUL EGAN COTA/L
1214 PRIMROSE DR
BLYTHEWOOD, SC 29016
Phone number: 864-357-1587
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