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1497831853
JOHN KENN EKUNDAYO
MCMINNVILLE, TN
NPI
1497831853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 1568)
Enumeration Date
2006-10-28
Last Update Date
2007-07-08
Business Address
Mr. JOHN KENN EKUNDAYO OTA
928 OLD SMITHVILLE RD NHC MCMINNVILLE
MCMINNVILLE, TN 37110
Phone number: 931-473-8431
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Mailing Address
Mr. JOHN KENN EKUNDAYO OTA
419 ORIOLE DRIVE
MCMINNVILLE, TN 37110
Phone number: 931-507-6048
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