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1265761886
BRANDEE NICHOLE COALSON
CHARLESTON, WV
NPI
1265761886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1684)
Enumeration Date
2009-12-10
Last Update Date
2009-12-10
Business Address
BRANDEE NICHOLE COALSON COTA/L
300 BAKER LN
CHARLESTON, WV 25302-2900
Phone number: 304-345-0867
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Mailing Address
BRANDEE NICHOLE COALSON COTA/L
300 BAKER LN
CHARLESTON, WV 25302-2900
Phone number: 304-345-0867
Copy
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