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1548922214
DESIRAE VIOLETTE
CHARLESTON, SC
NPI
1548922214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5136)
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
DESIRAE VIOLETTE
721 WAPPOO RD
CHARLESTON, SC 29407-5861
Phone number: 843-402-7850
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Mailing Address
DESIRAE VIOLETTE
2915 MARSH BREEZE LN
MOUNT PLEASANT, SC 29466-8696
Phone number: 860-917-9178
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