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1174359830
FAITH AMANDA ARCHIE
SIKESTON, MO
NPI
1174359830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2023042127)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
FAITH AMANDA ARCHIE COTA/L
300 FLOYD DR
SIKESTON, MO 63801-3960
Phone number: 573-472-0397
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Mailing Address
FAITH AMANDA ARCHIE COTA/L
5790 STATE HWY W
CATRON, MO 63833-9137
Phone number: 573-683-1350
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