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1073094868
SHAWNA LEIGH FORTIN
GREELEY, CO
NPI
1073094868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000146)
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
SHAWNA LEIGH FORTIN COTA
1051 6TH ST
GREELEY, CO 80631-3278
Phone number: 970-353-0143
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Mailing Address
SHAWNA LEIGH FORTIN COTA
2411 49TH AVENUE CT
GREELEY, CO 80634-3705
Phone number: 303-659-7758
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