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1568891117
DOREEN LIETZOW
MINERVA, OH
NPI
1568891117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.05324)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
DOREEN LIETZOW COTA/L
400 CAROLYN CT
MINERVA, OH 44657-8703
Phone number: 330-868-4104
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Mailing Address
DOREEN LIETZOW COTA/L
4255 CARAWAY CIR NW
MASSILLON, OH 44646-1318
Phone number: 330-232-1350
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