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1225307846
JORDAN PAUL ALEXANDER
PARKERSBURG, WV
NPI
1225307846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1824)
Enumeration Date
2011-12-28
Last Update Date
2011-12-30
Business Address
MR. JORDAN PAUL ALEXANDER COTA
723 SUMMERS ST
PARKERSBURG, WV 26101-6022
Phone number: 304-428-5573
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Mailing Address
MR. JORDAN PAUL ALEXANDER COTA
4 YORKSHIRE DR
CAMBRIDGE, OH 43725-8714
Phone number: 740-680-7416
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