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1114306214
LIONEL THOMPSON
RACINE, WI
NPI
1114306214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 515527)
Enumeration Date
2015-05-21
Last Update Date
2015-05-21
Business Address
-- LIONEL THOMPSON COTA
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2712
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Mailing Address
-- LIONEL THOMPSON COTA
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2712
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