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1679634745
SHONTAE L. SWANCY
JACKSONVILLE, FL
NPI
1679634745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 10154)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- SHONTAE L. SWANCY COTA
10790 OLD ST. AUGUSTINE ROAD
JACKSONVILLE, FL 32257
Phone number: 904-262-2286
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Mailing Address
-- SHONTAE L. SWANCY COTA
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number:
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