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1104332956
KRISTIE RACHELLE KAPUSTKA
COLORADO SPRINGS, CO
NPI
1104332956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000105)
Enumeration Date
2017-12-15
Last Update Date
2017-12-15
Business Address
Mrs. KRISTIE RACHELLE KAPUSTKA COTA
5054 FARRIS CREEK CT
COLORADO SPRINGS, CO 80924-2914
Phone number: 719-573-7808
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Mailing Address
Mrs. KRISTIE RACHELLE KAPUSTKA COTA
5054 FARRIS CREEK CT
COLORADO SPRINGS, CO 80924-2914
Phone number: 719-573-7808
Copy
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