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1568593341
STACIE R CAMPBELL
LAWRENCEBURG, TN
NPI
1568593341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 1139)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mrs. STACIE R CAMPBELL COTA
2380 BUFFALO RD
LAWRENCEBURG, TN 38464-4809
Phone number: 931-762-9418
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Mailing Address
Mrs. STACIE R CAMPBELL COTA
29 CROSS ROAD
ETHRIDGE, TN 38456
Phone number: 931-829-2480
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