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1689067498
JESSICA FAIRBANKS
SCOTTSBORO, AL
NPI
1689067498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 3476)
Enumeration Date
2015-03-18
Last Update Date
2015-03-18
Business Address
-- JESSICA FAIRBANKS COTA/L
231 BELLE DR
SCOTTSBORO, AL 35769-3657
Phone number: 256-647-3574
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Mailing Address
-- JESSICA FAIRBANKS COTA/L
231 BELLE DR
SCOTTSBORO, AL 35769-3657
Phone number: 256-647-3574
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