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1326501818
SAMANTHA JO DESTAZIO
SPARTANBURG, SC
NPI
1326501818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: SC 6550)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
SAMANTHA JO DESTAZIO
290 N GROVE MEDICAL PARK DR
SPARTANBURG, SC 29303-4222
Phone number: 864-345-1700
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Mailing Address
SAMANTHA JO DESTAZIO
290 N GROVE MEDICAL PARK DR
SPARTANBURG, SC 29303-4222
Phone number:
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