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1548734676
GEORGINA BROOKS
HERNANDO, MS
NPI
1548734676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2019-01-11
Last Update Date
2019-01-15
Business Address
GEORGINA BROOKS COTA/L
3130 MCINGVALE RD
HERNANDO, MS 38632-8795
Phone number: 662-501-6140
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Mailing Address
GEORGINA BROOKS COTA/L
1769 CARLYLE RD
MEMPHIS, TN 38127-3943
Phone number:
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