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1538642970
AMBER WEAGHINGTON
NORTH AUGUSTA, SC
NPI
1538642970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 4818)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
AMBER WEAGHINGTON COTA
350 AUSTIN GRAYBILL RD
NORTH AUGUSTA, SC 29860-9251
Phone number: 864-391-1664
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Mailing Address
AMBER WEAGHINGTON COTA
PO BOX 23
MODOC, SC 29838-0023
Phone number: 864-391-1664
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