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1386953818
BURTON LEE YATES
ROANOKE, VA
NPI
1386953818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000531)
Enumeration Date
2010-10-01
Last Update Date
2010-10-01
Business Address
Mr. BURTON LEE YATES COTA
3429 VALLEY VIEW AVE NW
ROANOKE, VA 24012-3921
Phone number: 540-278-3461
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Mailing Address
Mr. BURTON LEE YATES COTA
3429 VALLEY VIEW AVE NW
ROANOKE, VA 24012-3921
Phone number: 540-278-3461
Copy
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