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1568672301
PAMELA STACIE CLARK
PENSACOLA, FL
NPI
1568672301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA10423)
Enumeration Date
2007-05-23
Last Update Date
2008-03-20
Business Address
Ms. PAMELA STACIE CLARK COTA
1900 SUMMIT BLVD
PENSACOLA, FL 32503
Phone number: 850-436-5900
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Mailing Address
Ms. PAMELA STACIE CLARK COTA
2635 DANFORTH TER
WELLINGTON, FL 33414-3416
Phone number: 561-716-2506
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