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1144787110
CARLYE J MARTIN
HUMBOLDT, TN
NPI
1144787110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3190)
Enumeration Date
2019-02-26
Last Update Date
2020-08-12
Business Address
CARLYE J MARTIN COTA
2865 E MAIN ST
HUMBOLDT, TN 38343-3070
Phone number: 731-784-8405
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Mailing Address
CARLYE J MARTIN COTA
516 VERANO ST
MEDINA, TN 38355-6921
Phone number: 901-413-7578
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