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1649541558
TADESA ALLEN
SOUTH BEND, IN
NPI
1649541558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057003476)
Enumeration Date
2012-01-24
Last Update Date
2019-11-06
Business Address
Ms. TADESA ALLEN COTA
1006 N BROOKFIELD ST
SOUTH BEND, IN 46628-2604
Phone number: 574-300-5645
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Mailing Address
Ms. TADESA ALLEN COTA
53027 JUDAY CREEK BLVD
GRANGER, IN 46530-9463
Phone number: 574-300-5645
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