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1962529677
SANDRA LYNN JACKSON
MASSILLON, OH
NPI
1962529677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA706)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- SANDRA LYNN JACKSON COTA
435 AVIS AVE NW
MASSILLON, OH 44646-3555
Phone number: 330-837-1741
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Mailing Address
-- SANDRA LYNN JACKSON COTA
1614 CEDAR KNOLL AVE NW
MASSILLON, OH 44646
Phone number: 330-830-3845
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