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1306288774
PRINCESS FAYETTE NAZZERY
COLUMBIA, SC
NPI
1306288774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3221)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
MS. PRINCESS FAYETTE NAZZERY COTA/L
4020 ULMER RD APT 102
COLUMBIA, SC 29209-3306
Phone number: 803-955-6172
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Mailing Address
MS. PRINCESS FAYETTE NAZZERY COTA/L
4020 ULMER RD APT 102
COLUMBIA, SC 29209-3306
Phone number: 803-955-6172
Copy
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