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1629169115
MARCIA VIDETTE THOMAS
WEST COLUMBIA, SC
NPI
1629169115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 2654)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Miss MARCIA VIDETTE THOMAS OTR
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 803-939-0026
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Mailing Address
Miss MARCIA VIDETTE THOMAS OTR
308 IVY HILL CT
LEXINGTON, SC 29072-8097
Phone number: 803-808-4463
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