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1043543911
ERICA COLUCCI
LOGAN, WV
NPI
1043543911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1622)
Enumeration Date
2009-09-10
Last Update Date
2009-09-10
Business Address
-- ERICA COLUCCI COTA
RT. 10 THREE MILE CURVE RD.
LOGAN, WV 25601
Phone number: 304-752-2273
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Mailing Address
-- ERICA COLUCCI COTA
PO BOX 478
OCEANA, WV 24870-0478
Phone number: 304-682-2013
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