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1295006021
KAY UPCHURCH WHITE
LEBANON, TN
NPI
1295006021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 811)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- KAY UPCHURCH WHITE COTA
351 STUMPY LN
LEBANON, TN 37090-5339
Phone number: 423-622-1551
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Mailing Address
-- KAY UPCHURCH WHITE COTA
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551
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