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1982959847
KELLY L COSTON
WILMINGTON, NC
NPI
1982959847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 7600)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
MRS. KELLY L COSTON
4421 HUCKLEBERRY RD
WILMINGTON, NC 28405-8470
Phone number: 910-523-5314
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Mailing Address
MRS. KELLY L COSTON
4421 HUCKLEBERRY RD.
WILMINGTON, NC 28405
Phone number: 910-523-5314
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