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CERTOFLIC-100 04/12 MAILING ADDRESS: PO BOX 2649 Harrisburg, PA 17105-2649 COURIER ADDRESS: 2601 North Third Street Harrisburg, PA 17110 STATE BOARD OF OCCUPATIONAL THERAPY st-occupational pa.gov

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What is certoflic-100 0412 mailing address?

The certoflic-100 0412 mailing address is the designated address where the completed form should be sent by mail.

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Any individual or organization that is required to submit the certoflic-100 0412 form is also required to provide their mailing address.

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The certoflic-100 0412 mailing address itself is the information that needs to be reported. It typically includes the street address, city, state, and zip code.

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