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1396010955
DESIREE C TIPPINS
VALDOSTA, GA
NPI
1396010955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001447)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
-- DESIREE C TIPPINS OTA
202 W PARK AVE
VALDOSTA, GA 31602-2507
Phone number: 229-253-8500
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Mailing Address
-- DESIREE C TIPPINS OTA
202 W PARK AVE
VALDOSTA, GA 31602-2507
Phone number: 229-253-8500
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