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1508118613
KATHLEEN BELLAFAIRE
WOODSTOCK, GA
NPI
1508118613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA000101)
Enumeration Date
2012-10-12
Last Update Date
2016-11-23
Business Address
-- KATHLEEN BELLAFAIRE COTA
103 GLEN TRL
WOODSTOCK, GA 30188-6114
Phone number: 678-478-2173
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Mailing Address
-- KATHLEEN BELLAFAIRE COTA
103 GLEN TRL
WOODSTOCK, GA 30188-6114
Phone number: 678-478-2173
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