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1114315835
JENNIFER BUCKMAN
NOBLESVILLE, IN
NPI
1114315835
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Former Name
JENNIFER THORNTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY BOTOTA00210714)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
Ms. JENNIFER BUCKMAN COTA/L
10 S 9TH ST SUITE 4
NOBLESVILLE, IN 46060-2630
Phone number: 317-204-3736
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Mailing Address
Ms. JENNIFER BUCKMAN COTA/L
408 NORTHGATE RD
FAIRDALE, KY 40118-8722
Phone number: 502-802-1729
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