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1487062105
MARY JARVIS
PORT ORANGE, FL
NPI
1487062105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA12822)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- MARY JARVIS
866 MILLERS WAY
PORT ORANGE, FL 32127-5890
Phone number: 386-566-2166
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Mailing Address
-- MARY JARVIS
866 MILLERS WAY
PORT ORANGE, FL 32127-5890
Phone number:
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