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1396135729
JENNIFER BLAINE
OTTAWA, KS
NPI
1396135729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-01096)
Enumeration Date
2015-01-22
Last Update Date
2015-01-22
Business Address
-- JENNIFER BLAINE COTA
1404 S ELM ST
OTTAWA, KS 66067-3429
Phone number: 785-418-4691
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Mailing Address
-- JENNIFER BLAINE COTA
1404 S ELM ST
OTTAWA, KS 66067-3429
Phone number: 785-418-4691
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