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1073168019
KRISTEN KOSHALEK
WISCONSIN RAPIDS, WI
NPI
1073168019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5602-27)
Enumeration Date
2019-08-06
Last Update Date
2020-08-19
Business Address
KRISTEN KOSHALEK COTA
3541 PLOVER RD # A
WISCONSIN RAPIDS, WI 54494-2155
Phone number: 715-423-5423
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Mailing Address
KRISTEN KOSHALEK COTA
3541 PLOVER RD # A
WISCONSIN RAPIDS, WI 54494-2155
Phone number: 715-423-5423
Copy
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