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1053720698
LENA STOVALL
CAPE GIRARDEAU, MO
NPI
1053720698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 005434)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- LENA STOVALL COTA
1972 BRIARWOOD DR
CAPE GIRARDEAU, MO 63701-2504
Phone number: 573-651-1835
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Mailing Address
-- LENA STOVALL COTA
1972 BRIARWOOD
CAPE GIRARDEAU, MO 63701
Phone number: 573-651-1835
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