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1760978126
DESPINA ANASTASIA SMALL
LEXINGTON, SC
NPI
1760978126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 5282)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
DESPINA ANASTASIA SMALL OT
714 S LAKE DR STE 150
LEXINGTON, SC 29072-3473
Phone number: 803-356-4782
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Mailing Address
DESPINA ANASTASIA SMALL OT
181 TOWN CREEK RD
AIKEN, SC 29803-5841
Phone number: 803-642-0700
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