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1902125941
LORRAINE MARIE NICHOLS
BRIDGEPORT, WV
NPI
1902125941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV c1442)
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
-- LORRAINE MARIE NICHOLS cota
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 877-842-9887
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Mailing Address
-- LORRAINE MARIE NICHOLS cota
102 DONALD ST
SAINT MARYS, WV 26170-9630
Phone number: 304-483-4937
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