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1174126338
KELBY RENEE NICHOLSON
WEST MEMPHIS, AR
NPI
1174126338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1668)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
KELBY RENEE NICHOLSON COTA
610 N MISSOURI ST STE 1
WEST MEMPHIS, AR 72301-3148
Phone number: 870-400-0179
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Mailing Address
KELBY RENEE NICHOLSON COTA
610 N MISSOURI ST STE 1
WEST MEMPHIS, AR 72301-3148
Phone number: 870-400-0179
Copy
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