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1902121353
SELINA RENEE BRIGANCE
BOWLING GREEN, KY
NPI
1902121353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A3828)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- SELINA RENEE BRIGANCE COTA
1561 NEWTON AVE
BOWLING GREEN, KY 42104-3238
Phone number: 270-842-1611
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Mailing Address
-- SELINA RENEE BRIGANCE COTA
1560 DOUGLAS RD
BROWDER, KY 42326-2559
Phone number: 270-543-6415
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