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1407217391
KATHLEEN BASHORE
JACKSONVILLE, FL
NPI
1407217391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 15071)
Enumeration Date
2016-03-18
Last Update Date
2017-05-09
Business Address
-- KATHLEEN BASHORE
8057 LE HAVRE DR N
JACKSONVILLE, FL 32277-0902
Phone number: 904-728-4603
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Mailing Address
-- KATHLEEN BASHORE
8057 LE HAVRE DR N
JACKSONVILLE, FL 32277-0902
Phone number: 904-728-4603
Copy
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