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1518123157
DONALD ALFRED WYLIE
COOKEVILLE, TN
NPI
1518123157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 0758)
Enumeration Date
2008-08-04
Last Update Date
2008-08-04
Business Address
Mr. DONALD ALFRED WYLIE COTA/L
278 DRY VALLEY RD
COOKEVILLE, TN 38506-5461
Phone number: 931-537-6524
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Mailing Address
Mr. DONALD ALFRED WYLIE COTA/L
278 DRY VALLEY RD
COOKEVILLE, TN 38506-5461
Phone number: 931-537-6524
Copy
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