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1689149502
SUSIE JOY VILLANUEVA SWAMP
VIRGINIA BEACH, VA
NPI
1689149502
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Other Name
SUSIE JOY SWAMP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131001620)
Enumeration Date
2018-10-06
Last Update Date
2018-10-06
Business Address
SUSIE JOY VILLANUEVA SWAMP COTA/L
3100 SHORE DR
VIRGINIA BEACH, VA 23451-1199
Phone number: 757-496-1690
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Mailing Address
SUSIE JOY VILLANUEVA SWAMP COTA/L
1401 CORNFIELD CT
VIRGINIA BEACH, VA 23464-6438
Phone number: 757-971-1260
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