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1861058646
CAROL JAMES HODGE
SUMTER, SC
NPI
1861058646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3102)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
Mr. CAROL JAMES HODGE COTA/L
880 CAROLINA AVE
SUMTER, SC 29150-2815
Phone number: 803-775-5394
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Mailing Address
Mr. CAROL JAMES HODGE COTA/L
880 CAROLINA AVE
SUMTER, SC 29150-2815
Phone number: 803-775-5394
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