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1144660580
AMBER MICHELLE DE ANGELO
LOUISVILLE, KY
NPI
1144660580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007268)
Enumeration Date
2013-06-30
Last Update Date
2013-06-30
Business Address
-- AMBER MICHELLE DE ANGELO COTA
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
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Mailing Address
-- AMBER MICHELLE DE ANGELO COTA
19880 JOLGREN DR
CLINTON TOWNSHIP, MI 48038-2260
Phone number: 586-625-3157
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