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1508485160
JESSICA LAZOS
CLARKSVILLE, TN
NPI
1508485160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3054)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
JESSICA LAZOS COTA/L
215 DUNBAR CAVE RD STE A
CLARKSVILLE, TN 37043-8850
Phone number: 931-542-2739
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Mailing Address
JESSICA LAZOS COTA/L
3901 TYLER BROWN DR
CLARKSVILLE, TN 37040-2568
Phone number: 931-216-1817
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