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1255456547
JOSEPHINE M DAVENPORT
OMAHA, NE
NPI
1255456547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 983540)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
MRS. JOSEPHINE M DAVENPORT COTA
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 402-334-6010
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Mailing Address
MRS. JOSEPHINE M DAVENPORT COTA
901 NW SUNBURST CT APT A203
MOSES LAKE, WA 98837-1439
Phone number: 541-490-9208
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