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1316321391
JOVENE IDANA WILSON
HARLAN, KY
NPI
1316321391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY KY-R1893)
Enumeration Date
2015-07-19
Last Update Date
2015-07-19
Business Address
MRS. JOVENE IDANA WILSON OTR-L
41 HENDRICKSON PASS
HARLAN, KY 40831-7117
Phone number: 606-574-9245
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Mailing Address
MRS. JOVENE IDANA WILSON OTR-L
41 HENDRICKSON PASS
HARLAN, KY 40831-7117
Phone number: 606-574-9245
Copy
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