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1528310380
KIMBERLY ETHEREDGE
GREENWOOD, SC
NPI
1528310380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3114)
Enumeration Date
2012-10-03
Last Update Date
2013-04-02
Business Address
KIMBERLY ETHEREDGE COTA/L
1530 PARKWAY
GREENWOOD, SC 29646-4027
Phone number: 864-330-1800
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Mailing Address
KIMBERLY ETHEREDGE COTA/L
122 DORCHESTER ST
GREENWOOD, SC 29646-9554
Phone number: 864-223-0193
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