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1528679214
CAROL L GRAY
MERRILLVILLE, IN
NPI
1528679214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003320A)
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
CAROL L GRAY COTA/L
7662 VAN BUREN ST
MERRILLVILLE, IN 46410-5769
Phone number: 219-306-3782
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Mailing Address
CAROL L GRAY COTA/L
PO BOX 10042
MERRILLVILLE, IN 46411-0042
Phone number: 219-306-3782
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