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1720210743
LYNETTE LOUISE REGER
PHOENIX, AZ
NPI
1720210743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ME OA2241)
Enumeration Date
2009-08-10
Last Update Date
2009-08-10
Business Address
-- LYNETTE LOUISE REGER COTA/L
7540 N 19TH AVE SUITE 200
PHOENIX, AZ 85021-7967
Phone number: 188-887-3422
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Mailing Address
-- LYNETTE LOUISE REGER COTA/L
PO BOX 196
STOCKTON SPRINGS, ME 04981-0196
Phone number: 207-567-3604
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