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1003193236
STEPHANIE KERANEN
GREEN BAY, WI
NPI
1003193236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 4715-27)
Enumeration Date
2011-11-16
Last Update Date
2011-11-16
Business Address
Ms. STEPHANIE KERANEN COTA
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
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Mailing Address
Ms. STEPHANIE KERANEN COTA
420 5TH ST
NEENAH, WI 54956-2867
Phone number: 920-277-6974
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