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1215237037
MARY E EVANS
FLORENCE, SC
NPI
1215237037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2857)
Enumeration Date
2010-10-26
Last Update Date
2010-10-26
Business Address
-- MARY E EVANS COTA/L
121 E CEDAR ST
FLORENCE, SC 29506-2576
Phone number: 843-661-3426
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Mailing Address
-- MARY E EVANS COTA/L
PO BOX 1004
JOHNSONVILLE, SC 29555-1004
Phone number: 843-472-9752
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