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1508388703
CAROLYN BURKE ELLIS
MYRTLE BEACH, SC
NPI
1508388703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3651)
Enumeration Date
2017-07-10
Last Update Date
2017-07-10
Business Address
CAROLYN BURKE ELLIS
3620 HAPPY WOODS CT
MYRTLE BEACH, SC 29588-2925
Phone number: 843-457-7624
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Mailing Address
CAROLYN BURKE ELLIS
55 REEF RUN RD
PAWLEYS ISLAND, SC 29585-7146
Phone number: 843-957-1434
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