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1619526548
CICELY TYNETTE ANDERSON
DECATUR, GA
NPI
1619526548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA002368)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
CICELY TYNETTE ANDERSON COTA
4115 GLENWOOD RD
DECATUR, GA 30032-4727
Phone number: 404-284-6414
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Mailing Address
CICELY TYNETTE ANDERSON COTA
4115 GLENWOOD RD
DECATUR, GA 30032-4727
Phone number: 404-284-6414
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