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1053624940
ROBERT ALLEN LAWRENCE
EVANSVILLE, IN
NPI
1053624940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001861A)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
MR. ROBERT ALLEN LAWRENCE COTA
3114 GREEN RIVER DR APT. 1205
EVANSVILLE, IN 47715-8046
Phone number: 812-686-1607
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Mailing Address
MR. ROBERT ALLEN LAWRENCE COTA
3114 GREEN RIVER DR APT. 1205
EVANSVILLE, IN 47715-8046
Phone number: 812-686-1607
Copy
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