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1013269299
MELISSA DOLORES MCDIVITT
RICHMOND HILL, GA
NPI
1013269299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001464)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- MELISSA DOLORES MCDIVITT COTA
128 FRANCES MEEKS WAY
RICHMOND HILL, GA 31324-3983
Phone number: 912-727-2321
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Mailing Address
-- MELISSA DOLORES MCDIVITT COTA
977 BIRCHFIELD DR
HINESVILLE, GA 31313-6478
Phone number: 321-480-1274
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