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1952014318
SAMUEL MAYCOCK
SPARTANBURG, SC
NPI
1952014318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 6703)
Enumeration Date
2023-01-02
Last Update Date
2023-01-02
Business Address
SAMUEL MAYCOCK OTD
1705 SKYLYN DR
SPARTANBURG, SC 29307-1077
Phone number: 864-580-6317
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Mailing Address
SAMUEL MAYCOCK OTD
PO BOX 616
MARIETTA, SC 29661-0616
Phone number: 864-214-4431
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