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1144926007
ERYIA SHANISE IRVING
DALLAS, TX
NPI
1144926007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2023-02-02
Last Update Date
2023-02-02
Business Address
ERYIA SHANISE IRVING OT
5850 E LOVERS LN
DALLAS, TX 75206-2902
Phone number: 618-975-4594
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Mailing Address
ERYIA SHANISE IRVING OT
14540 ENGLISH PARK CIR UNIT 104
LOUISVILLE, KY 40299-6473
Phone number: 618-975-4594
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