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1104080407
JOAN CHARLENE DEWEY
BOLIVAR, TN
NPI
1104080407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 0000000045)
Enumeration Date
2008-07-15
Last Update Date
2008-07-15
Business Address
Ms. JOAN CHARLENE DEWEY COTA
1382 MARVIN RD
BOLIVAR, TN 38008-1720
Phone number: 731-659-3104
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Mailing Address
Ms. JOAN CHARLENE DEWEY COTA
1382 MARVIN RD
BOLIVAR, TN 38008-1720
Phone number: 731-659-3104
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