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1104395607
SHAWANA D SMITH
JACKSONVILLE, FL
NPI
1104395607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 16892)
Enumeration Date
2018-11-14
Last Update Date
2018-11-14
Business Address
SHAWANA D SMITH COTA/L
2496 WEST 28TH ST
JACKSONVILLE, FL 32209-3220
Phone number: 904-861-7434
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Mailing Address
SHAWANA D SMITH COTA/L
2496 W 28TH ST
JACKSONVILLE, FL 32209-3553
Phone number: 904-861-7434
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