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1942975495
BLAKELY ELIZABETH VINAL
COLUMBIA, SC
NPI
1942975495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-08-16
Last Update Date
2021-08-16
Business Address
BLAKELY ELIZABETH VINAL
731 POLO RD
COLUMBIA, SC 29223-4462
Phone number: 803-788-5115
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Mailing Address
BLAKELY ELIZABETH VINAL
102 DELAHUNTY DR
SOUTHINGTON, CT 06489-3667
Phone number: 860-384-5689
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