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1457508053
JEFF LAWSON
SOUTH BEND, IN
NPI
1457508053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32000538A)
Enumeration Date
2008-08-26
Last Update Date
2008-08-26
Business Address
-- JEFF LAWSON COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
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Mailing Address
-- JEFF LAWSON COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
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