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1730779455
PAYTON MALONE
FOUNTAIN INN, SC
NPI
1730779455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 6080)
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
PAYTON MALONE OTR/L
204 SHADY PINES CT
FOUNTAIN INN, SC 29644-9785
Phone number: 864-399-2674
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Mailing Address
PAYTON MALONE OTR/L
PO BOX 1312
FOUNTAIN INN, SC 29644-1054
Phone number: 864-408-9509
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