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1235667783
GRACE MARIE PORTER
BOWLING GREEN, KY
NPI
1235667783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 172494)
Enumeration Date
2017-05-29
Last Update Date
2017-05-29
Business Address
GRACE MARIE PORTER COTA
1381 CAMPBELL LN
BOWLING GREEN, KY 42104-1049
Phone number: 270-843-0587
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Mailing Address
GRACE MARIE PORTER COTA
4808 DUNMOR DEER LICK RD
LEWISBURG, KY 42256-8823
Phone number: 270-847-7048
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