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1366787657
CONSUELA T. JENKINS
COLUMBIA, SC
NPI
1366787657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2435)
Enumeration Date
2012-11-28
Last Update Date
2012-11-28
Business Address
-- CONSUELA T. JENKINS COTA
4405 FOREST DR
COLUMBIA, SC 29206-3103
Phone number: 803-455-7373
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Mailing Address
-- CONSUELA T. JENKINS COTA
PO BOX 2982
WEST COLUMBIA, SC 29171-2982
Phone number: 803-455-7373
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