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1912470378
LAKEN N INGLE
KINGSPORT, TN
NPI
1912470378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2297)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
LAKEN N INGLE COTA/L
100 NETHERLAND LN
KINGSPORT, TN 37660-7245
Phone number: 423-245-0360
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Mailing Address
LAKEN N INGLE COTA/L
22185 WILLOW CREEK CIR
BRISTOL, VA 24202-2612
Phone number:
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