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1083131411
ANGELA JOY ENTZ
WICHITA, KS
NPI
1083131411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-01147)
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
Ms. ANGELA JOY ENTZ COTA
622 N EDGEMOOR ST
WICHITA, KS 67208-3602
Phone number: 316-686-5100
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Mailing Address
Ms. ANGELA JOY ENTZ COTA
2801 N ROCK RD APT 1202
WICHITA, KS 67226-1184
Phone number: 316-208-9415
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