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1154177301
SAMANTHA NICOLE COOK
NIXA, MO
NPI
1154177301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2011017429)
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
SAMANTHA NICOLE COOK COTA/L
301 S MAIN ST
NIXA, MO 65714-5303
Phone number: 417-875-5400
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Mailing Address
SAMANTHA NICOLE COOK COTA/L
274 FAIROAK LN
FORDLAND, MO 65652-8212
Phone number: 417-839-2620
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