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1588037592
DOKOTA BOSTON WYNN
LEXINGTON, SC
NPI
1588037592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 4632)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- DOKOTA BOSTON WYNN OTR/L
720 OLD CHEROKEE RD
LEXINGTON, SC 29072-9406
Phone number: 336-661-5169
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Mailing Address
-- DOKOTA BOSTON WYNN OTR/L
4702 OLD RURAL HALL RD
WINSTON SALEM, NC 27105-2447
Phone number: 336-661-5169
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