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1962919761
KATERYNA KUCHERENKO
JACKSON, TN
NPI
1962919761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2901)
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
KATERYNA KUCHERENKO OTA
34 GARLAND DR
JACKSON, TN 38305-3654
Phone number: 731-664-3670
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Mailing Address
KATERYNA KUCHERENKO OTA
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-8781
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