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1760709539
UBOLWAN WAYNICK
CLARKSVILLE, TN
NPI
1760709539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 0936)
Enumeration Date
2010-05-03
Last Update Date
2010-05-03
Business Address
-- UBOLWAN WAYNICK cota
900 PROFESSIONAL PARK DR
CLARKSVILLE, TN 37040-5136
Phone number: 931-552-3002
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Mailing Address
-- UBOLWAN WAYNICK cota
817 BURTON TRL
ADAMS, TN 37010-8938
Phone number:
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