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1376024984
NANCY JEAN
HIALEAH, FL
NPI
1376024984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA12102)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
NANCY JEAN OTA
5725 NW 186TH ST
HIALEAH, FL 33015-6019
Phone number: 305-625-9857
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Mailing Address
NANCY JEAN OTA
3400 NW 29TH ST APT 201
LAUDERDALE LAKES, FL 33311-1879
Phone number: 754-367-0044
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