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1619431103
ALEISHA DIANE WILSON
MARYVILLE, TN
NPI
1619431103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2420)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
ALEISHA DIANE WILSON COTA/L
2320 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5316
Phone number: 865-273-8323
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Mailing Address
ALEISHA DIANE WILSON COTA/L
2320 E LAMAR ALEXANDER PKWY
MARYVILLE, TN 37804-5316
Phone number:
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