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1740378256
KORI DIANE GRAHAM
ANDERSON, SC
NPI
1740378256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2557)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Ms. KORI DIANE GRAHAM COTA/L
1501 E GREENVILLE ST
ANDERSON, SC 29621-2004
Phone number: 864-226-8356
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Mailing Address
Ms. KORI DIANE GRAHAM COTA/L
346 S HARRISON BRIDGE RD
SIMPSONVILLE, SC 29680-6802
Phone number: 864-313-4557
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