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1477070118
KELLI TUCKER
CANTON, OH
NPI
1477070118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA006820)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
KELLI TUCKER
2100 38TH ST NW
CANTON, OH 44709-2312
Phone number: 330-492-8136
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Mailing Address
KELLI TUCKER
140 SUPERIOR ST NE
BREWSTER, OH 44613-1136
Phone number: 330-437-7847
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