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1720734627
KAILEY GRACE CLEGG
GREENWOOD, SC
NPI
1720734627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5378)
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
KAILEY GRACE CLEGG COTA
104 MAXWELL AVE
GREENWOOD, SC 29646-2641
Phone number: 864-229-7529
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Mailing Address
KAILEY GRACE CLEGG COTA
PO BOX 3023
GREENWOOD, SC 29648-3023
Phone number: 864-229-7529
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