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1134942600
DALTON JAMES GORE
JOHNSON CITY, TN
NPI
1134942600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
Mr. DALTON JAMES GORE COTA/L
2214 E FAIRVIEW AVE
JOHNSON CITY, TN 37601-2860
Phone number: 423-928-6464
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Mailing Address
Mr. DALTON JAMES GORE COTA/L
2214 E FAIRVIEW AVE
JOHNSON CITY, TN 37601-2860
Phone number: 931-704-5064
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