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1689790545
TAMARA IRENE JOHNSON
OAK HILL, WV
NPI
1689790545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1486)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mrs. TAMARA IRENE JOHNSON COTAL
422 23RD ST
OAK HILL, WV 25901-2830
Phone number: 304-465-1903
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Mailing Address
Mrs. TAMARA IRENE JOHNSON COTAL
RR 2 BOX 246 H TREADWAY RD.
FAYETTEVILLE, WV 25840
Phone number: 304-465-1903
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