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1346496940
JENNIFER ANN VANCE
SOUTH BEND, IN
NPI
1346496940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001583A)
Enumeration Date
2008-08-14
Last Update Date
2008-08-14
Business Address
-- JENNIFER ANN VANCE COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
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Mailing Address
-- JENNIFER ANN VANCE COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
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