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1528456142
STEPHANIE LEE
NORTH MYRTLE BEACH, SC
NPI
1528456142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3382)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
STEPHANIE LEE COTA
1100 DAVID ST APT 4408
NORTH MYRTLE BEACH, SC 29582-7605
Phone number: 864-650-3947
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Mailing Address
STEPHANIE LEE COTA
1100 DAVID ST APT 4408
NORTH MYRTLE BEACH, SC 29582-7605
Phone number: 864-650-3947
Copy
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