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1952792103
JOY WAGONER
OWENSBORO, KY
NPI
1952792103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY A4456)
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
-- JOY WAGONER COTA
815 TRIPLETT ST
OWENSBORO, KY 42303-3564
Phone number: 270-683-4517
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Mailing Address
-- JOY WAGONER COTA
815 TRIPLETT ST
OWENSBORO, KY 42303-3564
Phone number: 270-683-4517
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