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1821369984
KELLY LEE TAYLOR
SOUTH BEND, IN
NPI
1821369984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002094A)
Enumeration Date
2012-01-21
Last Update Date
2012-01-21
Business Address
Miss KELLY LEE TAYLOR COTA
2012 IRONWOOD CIR SUITE 230
SOUTH BEND, IN 46635-1888
Phone number: 574-387-4049
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Mailing Address
Miss KELLY LEE TAYLOR COTA
1805 MILBURN BLVD
MISHAWAKA, IN 46544-4629
Phone number: 574-850-8953
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