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1023396009
CARINE N/A CASTOR
MCDONOUGH, GA
NPI
1023396009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001310)
Enumeration Date
2011-07-25
Last Update Date
2011-07-25
Business Address
-- CARINE N/A CASTOR COTA
272 SHEFFIELD CHASE N/A
MCDONOUGH, GA 30253-5936
Phone number: 678-491-5980
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Mailing Address
-- CARINE N/A CASTOR COTA
272 SHEFFIELD CHASE N/A
MCDONOUGH, GA 30253-5936
Phone number: 678-491-5980
Copy
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