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1063985943
PHILIP L EDGEMON
SWEETWATER, TN
NPI
1063985943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2873)
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
PHILIP L EDGEMON COTA
520 OLD HIGHWAY 68
SWEETWATER, TN 37874-6258
Phone number: 423-351-1050
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Mailing Address
PHILIP L EDGEMON COTA
520 OLD HIGHWAY 68
SWEETWATER, TN 37874-6258
Phone number:
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