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1306680152
JENNIFER SANDERSON
RUSTON, LA
NPI
1306680152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: LA OTA.Z20473)
Enumeration Date
2024-06-25
Last Update Date
2024-06-26
Business Address
JENNIFER SANDERSON COTA
1603 GOODWIN RD
RUSTON, LA 71270-2907
Phone number: 318-255-7550
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Mailing Address
JENNIFER SANDERSON COTA
1605 STUBBS AVE
MONROE, LA 71201-5629
Phone number: 318-388-8414
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