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1073912929
EVAN KENNEDY
HUNTINGTON, WV
NPI
1073912929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1965)
Enumeration Date
2014-08-16
Last Update Date
2014-08-16
Business Address
Mr. EVAN KENNEDY COTA
101 13TH ST
HUNTINGTON, WV 25701-1653
Phone number: 304-525-7622
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Mailing Address
Mr. EVAN KENNEDY COTA
101 13TH ST
HUNTINGTON, WV 25701-1653
Phone number: 304-525-7622
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