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1548559412
JESSICA MACKENZIE RICE
FORT WAYNE, IN
NPI
1548559412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001964A)
Enumeration Date
2011-03-31
Last Update Date
2011-03-31
Business Address
-- JESSICA MACKENZIE RICE COTA
7454 HOPE DRIVE
FORT WAYNE, IN 46815-5681
Phone number: 260-704-2106
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Mailing Address
-- JESSICA MACKENZIE RICE COTA
7454 HOPE DR
FORT WAYNE, IN 46815-5681
Phone number: 260-704-2106
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