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1952700262
LATISHA RUDOLPH
CHESTER, PA
NPI
1952700262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP007894)
Enumeration Date
2014-08-22
Last Update Date
2014-08-22
Business Address
-- LATISHA RUDOLPH
1315 RENSHAW RD APT B2
CHESTER, PA 19013-1569
Phone number: 717-208-3799
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Mailing Address
-- LATISHA RUDOLPH
1315 RENSHAW RD APT B2
CHESTER, PA 19013-1569
Phone number:
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