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1164627428
ALLISON NICOLE SPAIN
WINSTON SALEM, NC
NPI
1164627428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 5774)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
ALLISON NICOLE SPAIN COTA
1000 SALEMTOWNE DR
WINSTON SALEM, NC 27106-3294
Phone number: 336-776-2300
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Mailing Address
ALLISON NICOLE SPAIN COTA
8341 LENBROOK RD
KERNERSVILLE, NC 27284-9273
Phone number: 336-993-4166
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