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1841970399
JENNIFER NICHOLS
SENECA, SC
NPI
1841970399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 3289)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
JENNIFER NICHOLS COTA
15855 WELLS HWY
SENECA, SC 29678-1078
Phone number: 864-661-2975
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Mailing Address
JENNIFER NICHOLS COTA
517 IVY SPRING CT
SENECA, SC 29678-5750
Phone number: 864-710-5972
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