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1669557880
JEFFERY BROWN
FOUNTAIN INN, SC
NPI
1669557880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 2287)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- JEFFERY BROWN COTA
709 QUILLEN AVE
FOUNTAIN INN, SC 29644-9444
Phone number: 864-862-3252
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Mailing Address
-- JEFFERY BROWN COTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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