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1043972581
JESSICA PAULINE
SOUTH CHARLESTON, WV
NPI
1043972581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2392)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
JESSICA PAULINE COTA/L
1000 LINCOLN DR
SOUTH CHARLESTON, WV 25309-2304
Phone number: 304-768-4400
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Mailing Address
JESSICA PAULINE COTA/L
113 GLOVER ST
PORTSMOUTH, OH 45662-4627
Phone number: 304-444-8573
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