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1831513878
BERNARDINE KAY BAXTER
GROVE, OK
NPI
1831513878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK OTA1200)
Enumeration Date
2014-02-11
Last Update Date
2014-02-11
Business Address
MRS. BERNARDINE KAY BAXTER COTA
24845 S 610 RD
GROVE, OK 74344-0190
Phone number: 419-670-2201
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Mailing Address
MRS. BERNARDINE KAY BAXTER COTA
24845 S 610 RD
GROVE, OK 74344-0190
Phone number: 419-670-2201
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