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1639609985
JOSIE LANE SHOWALTER
MARMET, WV
NPI
1639609985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C0249)
Enumeration Date
2017-06-19
Last Update Date
2017-06-19
Business Address
JOSIE LANE SHOWALTER COTA
1 SUTPHIN DR
MARMET, WV 25315-1977
Phone number: 304-949-2000
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Mailing Address
JOSIE LANE SHOWALTER COTA
149 BRIARWOOD LN
BECKLEY, WV 25801-9779
Phone number: 304-673-6390
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