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1790116275
MARY MCDONALD
EAGLE RIVER, AK
NPI
1790116275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: AK PHY T 2675)
Enumeration Date
2013-12-09
Last Update Date
2013-12-09
Business Address
MARY MCDONALD COTA
12110 BUSINESS BLVD SUITE 6 PMB 413
EAGLE RIVER, AK 99577-7725
Phone number: 907-317-9349
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Mailing Address
MARY MCDONALD COTA
4255 POLK RD
BOONVILLE, IN 47601-8056
Phone number: 812-480-1363
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