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1861740763
MONA SMITH BASILE
CHARLOTTE, NC
NPI
1861740763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 5477)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
MONA SMITH BASILE COTA/L
5101 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269-8732
Phone number: 704-548-9111
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Mailing Address
MONA SMITH BASILE COTA/L
549 GEORGETOWN DR NW
CONCORD, NC 28027-6463
Phone number:
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