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1225206089
STACEY L GREEN
NORTH CANTON, OH
NPI
1225206089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.03290)
Enumeration Date
2008-02-14
Last Update Date
2008-02-14
Business Address
-- STACEY L GREEN COTA/L
7235 WHIPPLE AVE NW
NORTH CANTON, OH 44720-7137
Phone number: 330-498-8200
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Mailing Address
-- STACEY L GREEN COTA/L
730 S HAZELWOOD AVE
YOUNGSTOWN, OH 44509-2232
Phone number: 330-792-4815
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