AUONTWANNQUE B. R. MCCOY

WEST COLUMBIA, SC
NPI1821241415
Former NameAUONTWANNQUE JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: SC  2490)
Enumeration Date2008-10-28
Last Update Date2016-06-09
Business Address
-- AUONTWANNQUE B. R. MCCOY COTA/L
3881-A LEAPHART RD.
WEST COLUMBIA, SC 29169
Phone number: 803-454-6090
Mailing Address
-- AUONTWANNQUE B. R. MCCOY COTA/L
3681 LEAPHART RD STE A
WEST COLUMBIA, SC 29169-3068
Phone number: 803-454-6090
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