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1699191742
JESSICA SOUSA CARVALHO
PALM COAST, FL
NPI
1699191742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA12553)
Enumeration Date
2014-03-13
Last Update Date
2014-03-13
Business Address
-- JESSICA SOUSA CARVALHO COTA/L
31 LUPI CT SUITE 150
PALM COAST, FL 32137-4761
Phone number: 386-447-0011
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Mailing Address
-- JESSICA SOUSA CARVALHO COTA/L
31 LUPI CT SUITE 150
PALM COAST, FL 32137-4761
Phone number: 386-447-0011
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