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1790808251
KELLY J TILSON
VINTON, IA
NPI
1790808251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 00269)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mrs. KELLY J TILSON COTA
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6372
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Mailing Address
Mrs. KELLY J TILSON COTA
502 N 9TH AVE
VINTON, IA 52349-2254
Phone number: 319-472-6372
Copy
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