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1235900903
JESSICA KRUEGER
SOUTH CHARLESTON, WV
NPI
1235900903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2473)
Enumeration Date
2024-01-11
Last Update Date
2024-01-11
Business Address
JESSICA KRUEGER COTA/L
4825 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1365
Phone number: 304-346-9667
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Mailing Address
JESSICA KRUEGER COTA/L
5524 E VIA MONTOYA DR
PHOENIX, AZ 85054-7147
Phone number: 951-505-9295
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