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1679171250
EBONI B HARRIS
COLUMBIA, SC
NPI
1679171250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5154)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
EBONI B HARRIS
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
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Mailing Address
EBONI B HARRIS
2381 TALL OAK RD
SUMTER, SC 29154-1121
Phone number: 803-565-7095
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