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1629275730
CONNNIE SUE BRUSHART
GALLIPOLIS, OH
NPI
1629275730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA 00625)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
Ms. CONNNIE SUE BRUSHART COTA
170 PINECREST DR
GALLIPOLIS, OH 45631-1347
Phone number: 740-446-7112
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Mailing Address
Ms. CONNNIE SUE BRUSHART COTA
526 E 3RD ST
WAVERLY, OH 45690-1226
Phone number: 740-708-4456
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