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1649452491
LINDA CHARLOTTA NICKERSON
HEATHROW, FL
NPI
1649452491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208157)
Enumeration Date
2007-12-04
Last Update Date
2007-12-04
Business Address
LINDA CHARLOTTA NICKERSON
1485 INTERNATIONAL PKWY
HEATHROW, FL 32746-5303
Phone number: 800-798-6035
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Mailing Address
LINDA CHARLOTTA NICKERSON
PO BOX 487
ELKHART, TX 75839-0487
Phone number: 903-764-0469
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