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1053168088
DIONNE LELAND GREENWOOD
PORT SAINT LUCIE, FL
NPI
1053168088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 19497)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
DIONNE LELAND GREENWOOD COTA
1483 SW BOUGAINVILLEA AVE
PORT SAINT LUCIE, FL 34953-7302
Phone number: 772-336-6928
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Mailing Address
DIONNE LELAND GREENWOOD COTA
472 SE DALVA AVE
PORT SAINT LUCIE, FL 34984-4718
Phone number: 518-466-7869
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