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1083975262
RONALD MICHAEL COBLENTZ
PORT ORANGE, FL
NPI
1083975262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001929A)
Enumeration Date
2012-06-04
Last Update Date
2012-06-04
Business Address
RONALD MICHAEL COBLENTZ
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
RONALD MICHAEL COBLENTZ
2230 N PENNSYLVANIA ST UNIT 2
INDIANAPOLIS, IN 46205-4369
Phone number:
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