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1104171305
MELISSA ROSE SHEA
BYRON, WI
NPI
1104171305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 4824-27)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
Mrs. MELISSA ROSE SHEA COTA
N3015 HICKORY RD
BYRON, WI 53006-1126
Phone number: 920-933-4344
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Mailing Address
Mrs. MELISSA ROSE SHEA COTA
414 BROOKRIDGE ST
ALLOUEZ, WI 54301-2132
Phone number: 920-471-6198
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