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1184824195
CARLA JUNE BENBROOK
CADIZ, KY
NPI
1184824195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A3592)
Enumeration Date
2007-07-19
Last Update Date
2007-07-19
Business Address
-- CARLA JUNE BENBROOK COTA/L
SHADY LAWN 2582 CERULEAN RD
CADIZ, KY 42211
Phone number: 270-522-3236
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Mailing Address
-- CARLA JUNE BENBROOK COTA/L
PO BOX 161
CROFTON, KY 42217-0161
Phone number: 270-424-5843
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