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1417549270
ALICIA RANEE DAVIDSON-CREEKMORE
ELKHART, IN
NPI
1417549270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001873A)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
ALICIA RANEE DAVIDSON-CREEKMORE COTA/L
3109 E BRISTOL ST
ELKHART, IN 46514-4372
Phone number: 574-584-3324
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Mailing Address
ALICIA RANEE DAVIDSON-CREEKMORE COTA/L
110 EMS T17A LN
LEESBURG, IN 46538-9573
Phone number: 574-551-2199
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