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1720235534
AUDREY BURNETT
SOUTH BEND, IN
NPI
1720235534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001574A)
Enumeration Date
2008-08-22
Last Update Date
2008-08-22
Business Address
-- AUDREY BURNETT COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
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Mailing Address
-- AUDREY BURNETT COTA
52654 IRONWOOD RD
SOUTH BEND, IN 46635-1123
Phone number: 574-277-8710
Copy
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