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1861273831
JENINE NICOLE AMPUDIA
ATLANTA, GA
NPI
1861273831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT008940)
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
JENINE NICOLE AMPUDIA OT
6035 PEACHTREE RD
ATLANTA, GA 30360-3230
Phone number: 678-514-3270
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Mailing Address
JENINE NICOLE AMPUDIA OT
430 WOODHAVEN DR
DECATUR, GA 30030-1650
Phone number: 404-790-7583
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