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1851814776
MALLORY YVONNE KOVAL
WILLIAMSTOWN, MA
NPI
1851814776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 009348-1)
Enumeration Date
2017-07-23
Last Update Date
2017-07-23
Business Address
Miss MALLORY YVONNE KOVAL COTA
25 ADAMS RD
WILLIAMSTOWN, MA 01267-2928
Phone number: 413-458-2111
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Mailing Address
Miss MALLORY YVONNE KOVAL COTA
97 BUTTON RD
WATERFORD, NY 12188-1211
Phone number: 518-698-4548
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