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1033499769
KIMBERLY ANN STACE
MADISON, WI
NPI
1033499769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 4844-27)
Enumeration Date
2011-08-25
Last Update Date
2011-09-10
Business Address
-- KIMBERLY ANN STACE COTA
333 W MAIN ST
MADISON, WI 53703-2777
Phone number: 608-283-2178
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Mailing Address
-- KIMBERLY ANN STACE COTA
82 S FAIR OAKS AVE # 2
MADISON, WI 53714-2244
Phone number: 608-445-8161
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