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1780010231
ERICA DAWN HANNER
MADISONVILLE, KY
NPI
1780010231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A3891)
Enumeration Date
2013-09-16
Last Update Date
2013-09-16
Business Address
-- ERICA DAWN HANNER COTA/L
1500 PRIDE AVE
MADISONVILLE, KY 42431-9157
Phone number: 270-821-1813
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Mailing Address
-- ERICA DAWN HANNER COTA/L
610 FOWLER RD
MADISONVILLE, KY 42431-6128
Phone number:
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