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1699035642
CANDICE ROSE BAGWELL
PENDLETON, SC
NPI
1699035642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3007)
Enumeration Date
2012-05-24
Last Update Date
2013-09-23
Business Address
CANDICE ROSE BAGWELL COTA/L
315 E QUEEN ST
PENDLETON, SC 29670-1721
Phone number: 864-403-2000
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Mailing Address
CANDICE ROSE BAGWELL COTA/L
315 E QUEEN ST
PENDLETON, SC 29670-1721
Phone number: 864-403-2000
Copy