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Individual

VERONICA AURELIA GAMBREALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
224Z00000X

Contact information

Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
104 HARRIS PL, PENDLETON, SC 29670-1826
(864) 324-2205

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2485
SC

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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