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1275775074
LC VAIL
PALM COAST, FL
NPI
1275775074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA195)
Enumeration Date
2009-03-25
Last Update Date
2009-03-25
Business Address
-- LC VAIL COTA/L
29 LINCOLN LN
PALM COAST, FL 32137-9555
Phone number: 386-793-0612
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Mailing Address
-- LC VAIL COTA/L
31 OLD KINGS RD N SUITE 1
PALM COAST, FL 32137-8257
Phone number: 386-793-0612
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