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1700056165
TINA LEE BULLIS
JACKSONVILLE, FL
NPI
1700056165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA 9384)
Enumeration Date
2008-03-01
Last Update Date
2008-03-01
Business Address
-- TINA LEE BULLIS COTA
14598 BERRINGER LN
JACKSONVILLE, FL 32258-4482
Phone number: 352-359-0893
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Mailing Address
-- TINA LEE BULLIS COTA
14598 BERRINGER LN
JACKSONVILLE, FL 32258-4482
Phone number: 352-359-0893
Copy
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