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1285092452
KISHIA WIGGINS
WARRENTON, NC
NPI
1285092452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 7516)
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- KISHIA WIGGINS COTA/L
864 US HWY 158 BUSINESS W
WARRENTON, NC 27589-0618
Phone number: 252-257-2121
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Mailing Address
-- KISHIA WIGGINS COTA/L
PO BOX 618
WARRENTON, NC 27589-0618
Phone number: 252-257-2121
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