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1659615185
LETITIA ARDELLA DURHAM
BECKLEY, WV
NPI
1659615185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1487)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
LETITIA ARDELLA DURHAM COTA/L
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317
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Mailing Address
LETITIA ARDELLA DURHAM COTA/L
PO BOX 2036
BECKLEY, WV 25802-2036
Phone number: 304-663-6139
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