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1568916591
SHANYA FOGLE
WEST COLUMBIA, SC
NPI
1568916591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3063)
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
-- SHANYA FOGLE
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 803-939-0026
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Mailing Address
-- SHANYA FOGLE
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 803-939-0026
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