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1467225151
JONATHAN RAY
ARDEN, NC
NPI
1467225151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 9343)
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
JONATHAN RAY OTA
3864 SWEETEN CREEK RD
ARDEN, NC 28704-3136
Phone number: 828-681-0904
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Mailing Address
JONATHAN RAY OTA
3864 SWEETEN CREEK RD
ARDEN, NC 28704-3136
Phone number:
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