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1144043308
JENNY SUE BROWN
EAGLE, ID
NPI
1144043308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-2976)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
JENNY SUE BROWN COTA
449 S FITNESS PL
EAGLE, ID 83616-6828
Phone number: 208-957-6301
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Mailing Address
JENNY SUE BROWN COTA
5940 W PORT LN APT 103
BOISE, ID 83703-4892
Phone number: 208-317-6268
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