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1114328333
TAMMY LEE KLEINSMITH
MOLINE, IL
NPI
1114328333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004095)
Enumeration Date
2014-09-07
Last Update Date
2014-09-07
Business Address
Mrs. TAMMY LEE KLEINSMITH COTA /L
221 11TH AVE
MOLINE, IL 61265-1498
Phone number: 309-797-7199
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Mailing Address
Mrs. TAMMY LEE KLEINSMITH COTA /L
3001 SPRING FOREST RD
RALEIGH, NC 27616-2815
Phone number: 919-424-5086
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