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1528776226
JESSICA NICOLE SALLAWAY
TALLAHASSEE, FL
NPI
1528776226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA18491)
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
JESSICA NICOLE SALLAWAY Cota
1344 CROSS CREEK CIR
TALLAHASSEE, FL 32301-3728
Phone number: 850-322-8709
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Mailing Address
JESSICA NICOLE SALLAWAY Cota
1292 POND LN
GRAND RIDGE, FL 32442-4026
Phone number: 850-372-7188
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