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1821338633
LONNIE LILES
JACKSONVILLE, FL
NPI
1821338633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA12434)
Enumeration Date
2013-02-15
Last Update Date
2013-02-15
Business Address
Mr. LONNIE LILES COTA
8075 DELAROCHE DR
JACKSONVILLE, FL 32210
Phone number: 352-281-3834
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Mailing Address
Mr. LONNIE LILES COTA
8075 DELAROCHE DR
JACKSONVILLE, FL 32210-2408
Phone number: 352-281-3834
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