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1336352632
ANGELA JACKSON
PINE BLUFF, AR
NPI
1336352632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OTA482)
Enumeration Date
2007-05-07
Last Update Date
2007-07-09
Business Address
Ms. ANGELA JACKSON COTA
2915 S HAZEL ST
PINE BLUFF, AR 71603-5008
Phone number: 870-535-0010
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Mailing Address
Ms. ANGELA JACKSON COTA
707 ELDRIDGE AVE E
WYNNE, AR 72396-4032
Phone number: 870-208-8989
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