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1942675905
HOLLEY MOON TANKERSLEY
SPARTANBURG, SC
NPI
1942675905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: SC 1925)
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
Mrs. HOLLEY MOON TANKERSLEY
698 HOWARD ST
SPARTANBURG, SC 29303-2964
Phone number: 864-596-8491
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Mailing Address
Mrs. HOLLEY MOON TANKERSLEY
PO BOX 970
SPARTANBURG, SC 29304-0970
Phone number: 864-596-8491
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