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1477939502
JENNA DAULTON
SPRINGFIELD, OH
NPI
1477939502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 05068)
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
-- JENNA DAULTON COTA/L
1500 VILLA RD
SPRINGFIELD, OH 45503-1656
Phone number: 937-342-8424
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Mailing Address
-- JENNA DAULTON COTA/L
333 S BIRD RD
SPRINGFIELD, OH 45505-1609
Phone number: 614-857-5602
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