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1912212614
AMY DOMINICA SECRET
SPRUCE PINE, NC
NPI
1912212614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 4054)
Enumeration Date
2010-08-18
Last Update Date
2010-08-18
Business Address
-- AMY DOMINICA SECRET
218 LAUREL CREEK CT
SPRUCE PINE, NC 28777-3134
Phone number: 828-765-7312
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Mailing Address
-- AMY DOMINICA SECRET
600 RIDGE RD
BLAIRSVILLE, GA 30512-3923
Phone number: 828-333-1558
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