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1093913956
SHAWNA ROSSBERG
COEUR D ALENE, ID
NPI
1093913956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID OTA-177)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- SHAWNA ROSSBERG COTA
2200 IRONWOOD PL
COEUR D ALENE, ID 83814-2610
Phone number: 208-667-6486
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Mailing Address
-- SHAWNA ROSSBERG COTA
2200 IRONWOOD PL
COEUR D ALENE, ID 83814-2610
Phone number: 208-667-6486
Copy
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