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1992899264
MARY SUZANNE GAULT
GREER, SC
NPI
1992899264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: SC 234)
Enumeration Date
2006-10-03
Last Update Date
2015-09-01
Business Address
-- MARY SUZANNE GAULT OTR/L
1305 BOILING SPRINGS RD
GREER, SC 29650-4139
Phone number: 864-458-7566
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Mailing Address
-- MARY SUZANNE GAULT OTR/L
527 SPRING POINT CT
SIMPSONVILLE, SC 29681-2148
Phone number: 864-363-3398
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