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1275894545
JAMIE NICOLE LANGSTON
PORT ORANGE, FL
NPI
1275894545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 7186)
Enumeration Date
2012-06-04
Last Update Date
2012-06-04
Business Address
-- JAMIE NICOLE LANGSTON
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
-- JAMIE NICOLE LANGSTON
306 VINEYARD CIR
GREENVILLE, NC 27858-8767
Phone number:
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