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1215419841
TIFFANY MCKIBBEN
SOMERSET, KY
NPI
1215419841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 135357)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
TIFFANY MCKIBBEN COTA
555 BOURNE AVE
SOMERSET, KY 42501-1915
Phone number: 606-679-7421
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Mailing Address
TIFFANY MCKIBBEN COTA
195 MEADOWCREST DR
SOMERSET, KY 42503-6244
Phone number:
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