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1386891513
MELISSA STARK
AUGUSTA, GA
NPI
1386891513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA ota001085)
Enumeration Date
2008-08-19
Last Update Date
2008-08-19
Business Address
-- MELISSA STARK cota
1941 WINDSOR SPRING RD
AUGUSTA, GA 30906-5821
Phone number: 706-495-5439
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Mailing Address
-- MELISSA STARK cota
1941 WINDSOR SPRING RD
AUGUSTA, GA 30906-5821
Phone number: 706-495-5439
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