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1841687092
JAMES FREDERICK
CHARLESTON, AR
NPI
1841687092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT2015-007)
Enumeration Date
2015-04-24
Last Update Date
2015-04-24
Business Address
-- JAMES FREDERICK COTA
1919 CHARMONT DR
CHARLESTON, AR 72933-8910
Phone number: 479-965-6752
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Mailing Address
-- JAMES FREDERICK COTA
1504 CHARMONT DR
CHARLESTON, AR 72933-9071
Phone number: 479-965-3455
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