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1821241415
AUONTWANNQUE B. R. MCCOY
WEST COLUMBIA, SC
NPI
1821241415
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Former Name
AUONTWANNQUE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2490)
Enumeration Date
2008-10-28
Last Update Date
2016-06-09
Business Address
AUONTWANNQUE B. R. MCCOY COTA/L
3881-A LEAPHART RD.
WEST COLUMBIA, SC 29169
Phone number: 803-454-6090
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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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