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1295940864
KASSANDRA LYNN SMITH
MARION, IN
NPI
1295940864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- KASSANDRA LYNN SMITH COTA
729 W 35TH ST
MARION, IN 46953-4215
Phone number: 765-674-9050
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Mailing Address
-- KASSANDRA LYNN SMITH COTA
1418 TULIP TREE RD
FORT WAYNE, IN 46825-4848
Phone number: 260-484-8144
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