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1306218979
JONATHAN AMELUNG
PHOENIX, AZ
NPI
1306218979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5859)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- JONATHAN AMELUNG COTA
14615 N 33RD AVE
PHOENIX, AZ 85053-4706
Phone number: 602-348-6953
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Mailing Address
-- JONATHAN AMELUNG COTA
14615 N 33RD AVE
PHOENIX, AZ 85053-4706
Phone number: 602-348-6953
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