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1982123220
STEPHANIE DANIELLE PRIDE
MADISONVILLE, KY
NPI
1982123220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 172404)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
STEPHANIE DANIELLE PRIDE COTA
419 N SEMINARY ST
MADISONVILLE, KY 42431-1515
Phone number: 270-821-5564
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Mailing Address
STEPHANIE DANIELLE PRIDE COTA
762 PLAINVIEW DR
MADISONVILLE, KY 42431-3118
Phone number: 270-584-5429
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