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1780882704
STEVEN CHARLES VANDORN
ELIZABETHTOWN, KY
NPI
1780882704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY a1904)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
Mr. STEVEN CHARLES VANDORN COTA
1101 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-765-6106
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Mailing Address
Mr. STEVEN CHARLES VANDORN COTA
1101 WOODLAND DR
ELIZABETHTOWN, KY 42701-2749
Phone number: 270-765-6106
Copy
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