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1295412856
JENNY LYNN GONZALEZ
CHARLESTON, SC
NPI
1295412856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5538)
Enumeration Date
2023-07-05
Last Update Date
2023-07-09
Business Address
JENNY LYNN GONZALEZ
1640 ASHLEY HALL RD
CHARLESTON, SC 29407-3824
Phone number: 774-721-6452
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Mailing Address
JENNY LYNN GONZALEZ
614 WATEREE DR
CHARLESTON, SC 29407-6635
Phone number: 774-721-6252
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