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1962714113
ANNIE ELIZA THOMPSON
HURRICANE, WV
NPI
1962714113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1755)
Enumeration Date
2010-07-03
Last Update Date
2010-07-03
Business Address
ANNIE ELIZA THOMPSON COTA/L
590 POPLAR FORK RD
HURRICANE, WV 25526-9434
Phone number: 304-757-7826
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Mailing Address
ANNIE ELIZA THOMPSON COTA/L
409 BELLEFONTE RD
ASHLAND, KY 41102-2311
Phone number: 606-923-9424
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