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1770797102
NICOLE M LEWIS
LEBANON, TN
NPI
1770797102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN OTA0000001601)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- NICOLE M LEWIS COTA
1366 AFRICA RD
LEBANON, TN 37087-7308
Phone number: 615-306-7772
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Mailing Address
-- NICOLE M LEWIS COTA
1366 AFRICA RD
LEBANON, TN 37087-7308
Phone number:
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