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1437719713
TOMMY TANNER
AUGUSTA, GA
NPI
1437719713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA000595)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
TOMMY TANNER COTA
3018 SPICEWOOD DR
AUGUSTA, GA 30909-6489
Phone number: 706-834-8219
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Mailing Address
TOMMY TANNER COTA
3018 SPICEWOOD DR
AUGUSTA, GA 30909-6489
Phone number:
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