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1174961023
SHELIA BLEVINS
COAL CITY, WV
NPI
1174961023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV c1865)
Enumeration Date
2013-06-12
Last Update Date
2013-06-12
Business Address
-- SHELIA BLEVINS COTA/L
343 LYNWINN ROAD
COAL CITY, WV 25823
Phone number: 304-222-2960
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Mailing Address
-- SHELIA BLEVINS COTA/L
PO BOX 303
SOPHIA, WV 25921
Phone number: 304-222-2960
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