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Organization
WIL LOU GRAY OPPORTUNITY SCHOOL
Active
Organization
WIL LOU GRAY OPPORTUNITY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA ROBINSON (DIRECTOR OF MEDICAL SERVICES)
(803) 896-6472
Entity
Organization
Contact information
Practice address
3300 W CAMPUS RD, WEST COLUMBIA, SC 29170-2134
(803) 896-6480
(803) 896-6494
Mailing address
3300 W CAMPUS RD, WEST COLUMBIA, SC 29170-2134
(803) 896-6480
(803) 896-6494
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VR0001
—
SC
Enumeration date
01/29/2007
Last updated
08/22/2020
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