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1689951402
DONNA SMITH
JACKSONVILLE, FL
NPI
1689951402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
(Licence: FL OTA11958)
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
-- DONNA SMITH COTA
8563 ARGYLE BUSINESS LOOP SUITE 2
JACKSONVILLE, FL 32244-6668
Phone number: 904-375-0830
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Mailing Address
-- DONNA SMITH COTA
4635 RAGGEDY POINT RD
FLEMING ISLAND, FL 32003-7843
Phone number: 904-269-3050
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