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1861036717
SHANNON BAILEY
WEST COLUMBIA, SC
NPI
1861036717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 5610)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
SHANNON BAILEY OTD
1900 SUNSET BLVD
WEST COLUMBIA, SC 29169-5959
Phone number: 803-250-6833
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Mailing Address
SHANNON BAILEY OTD
1900 SUNSET BLVD
WEST COLUMBIA, SC 29169-5959
Phone number: 803-250-6833
Copy
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