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1205339694
JACQUELINE MARIE ROUTT
BLOOMINGTON, IN
NPI
1205339694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003249A)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
JACQUELINE MARIE ROUTT COTA
2770 S ADAMS ST
BLOOMINGTON, IN 47403-3242
Phone number: 727-612-9096
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Mailing Address
JACQUELINE MARIE ROUTT COTA
3147 E MATTATHA DR
BLOOMINGTON, IN 47401-9415
Phone number: 727-612-9096
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