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1467963785
PENELOPE NOELL FULLER
DURHAM, NC
NPI
1467963785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 11161)
Enumeration Date
2017-10-12
Last Update Date
2017-10-12
Business Address
PENELOPE NOELL FULLER COTA
3420 HOLLOWAY ST
DURHAM, NC 27703-3522
Phone number: 919-596-9464
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Mailing Address
PENELOPE NOELL FULLER COTA
4308 ABBEY PL
DURHAM, NC 27707-5601
Phone number: 919-971-3194
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