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1891810016
SANDRA LEE PROCTOR
WINSTON SALEM, NC
NPI
1891810016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 4653)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Mrs. SANDRA LEE PROCTOR COTA
1250 ARBOR RD
WINSTON SALEM, NC 27104-1106
Phone number: 336-724-7921
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Mailing Address
Mrs. SANDRA LEE PROCTOR COTA
6052 YEATON GLEN DR
WINSTON SALEM, NC 27107-3700
Phone number: 336-327-7097
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