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1104201078
SANDRA GAYLE WELLS
CLARKSVILLE, TN
NPI
1104201078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN OTA0000002324)
Enumeration Date
2015-07-21
Last Update Date
2015-07-21
Business Address
Ms. SANDRA GAYLE WELLS COTA/L
298 WARFIELD BLVD STE C
CLARKSVILLE, TN 37043-1828
Phone number: 931-906-0440
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Mailing Address
Ms. SANDRA GAYLE WELLS COTA/L
298 WARFIELD BLVD STE C
CLARKSVILLE, TN 37043-1828
Phone number: 931-906-0440
Copy
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