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1093973315
CANDICE LEE SHORT
GREAT FALLS, MT
NPI
1093973315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MT 776)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
-- CANDICE LEE SHORT OTA/L
1500 32ND ST S
GREAT FALLS, MT 59405-5300
Phone number: 406-761-4300
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Mailing Address
-- CANDICE LEE SHORT OTA/L
1500 32ND ST S
GREAT FALLS, MT 59405-5300
Phone number: 406-761-4300
Copy
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