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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

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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