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1699058065
KIMBERLY A JOLLY
OMAHA, NE
NPI
1699058065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 872)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
-- KIMBERLY A JOLLY COTA
3110 SCOTT CIR
OMAHA, NE 68112-2604
Phone number: 402-203-6112
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Mailing Address
-- KIMBERLY A JOLLY COTA
3515 N 93RD AVE APT 6
OMAHA, NE 68134-4672
Phone number: 402-890-7883
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