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1568595031
JEAN ANNETTE GOFORTH
SACRAMENTO, CA
NPI
1568595031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA OTA 1509)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
MS. JEAN ANNETTE GOFORTH COTA
4700 ELVAS AVE
SACRAMENTO, CA 95819-2250
Phone number: 916-454-4700
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Mailing Address
MS. JEAN ANNETTE GOFORTH COTA
6177 GREENHAVEN DR APT A
SACRAMENTO, CA 95831-1652
Phone number: 530-329-6854
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