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1093940553
JOSEPH VERNON
MARMET, WV
NPI
1093940553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1690)
Enumeration Date
2009-05-27
Last Update Date
2009-05-27
Business Address
-- JOSEPH VERNON COTA/L
1 SUTPHIN DR
MARMET, WV 25315-1977
Phone number: 304-949-1580
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Mailing Address
-- JOSEPH VERNON COTA/L
175 HIGH ST
FAYETTEVILLE, WV 25840-1135
Phone number:
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