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1114043494
SANDRA SUE CAMPBELL
MARMET, WV
NPI
1114043494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV c1617)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- SANDRA SUE CAMPBELL COTAL
1 SUTPHIN DR
MARMET, WV 25315-1977
Phone number: 304-949-1580
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Mailing Address
-- SANDRA SUE CAMPBELL COTAL
PO BOX 224
ANSTED, WV 25812-0224
Phone number:
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