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1467912436
ANGELA RENEE WENTZ
JACKSONVILLE, FL
NPI
1467912436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA13980)
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
Mrs. ANGELA RENEE WENTZ COTA
7723 JASPER AVE
JACKSONVILLE, FL 32211-7719
Phone number: 904-553-1661
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Mailing Address
Mrs. ANGELA RENEE WENTZ COTA
7994 SCOTLAND RD
JACKSONVILLE, FL 32217-3658
Phone number: 904-553-1661
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