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1013590629
JACQUELINE MARIE GODWIN
SARASOTA, FL
NPI
1013590629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 17870)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
JACQUELINE MARIE GODWIN COTA/L
1507 S TUTTLE AVE
SARASOTA, FL 34239-2608
Phone number: 941-366-0336
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Mailing Address
JACQUELINE MARIE GODWIN COTA/L
16467 LITTLE GARDEN DR
WIMAUMA, FL 33598-2405
Phone number: 813-652-9033
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