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1386134708
NICOLE ELEANOR COSGROVE
DECATUR, AL
NPI
1386134708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 4736)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
NICOLE ELEANOR COSGROVE COTA
1350 14TH AVE SE
DECATUR, AL 35601-4364
Phone number: 256-355-6911
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Mailing Address
NICOLE ELEANOR COSGROVE COTA
26 ADDISON PARK DR NW APT 310
HUNTSVILLE, AL 35806-2495
Phone number: 954-870-2762
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