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1336503853
AMBERLY CRAIN
JACKSON, MS
NPI
1336503853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MS TA2715)
Enumeration Date
2016-04-11
Last Update Date
2016-04-11
Business Address
-- AMBERLY CRAIN COTA
5411 I 55 N
JACKSON, MS 39206-3616
Phone number: 601-940-5906
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Mailing Address
-- AMBERLY CRAIN COTA
114 TALONS TRL
MADISON, MS 39110-6019
Phone number: 601-940-5906
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