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1285833095
JENNIFER S MARCOTTE
PORTAGE, IN
NPI
1285833095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000267A)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- JENNIFER S MARCOTTE COTA
6040 LUTE RD
PORTAGE, IN 46368-5008
Phone number: 219-763-6858
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Mailing Address
-- JENNIFER S MARCOTTE COTA
56714 FAIRMONT AVE
SOUTH BEND, IN 46619-5563
Phone number: 574-232-8070
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