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1184608887
MICHELLE M GOLDSMITH-DAVENPORT
LA CROSSE, WI
NPI
1184608887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 1493)
Enumeration Date
2005-12-06
Last Update Date
2007-07-08
Business Address
MICHELLE M GOLDSMITH-DAVENPORT COTA
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-791-9768
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Mailing Address
MICHELLE M GOLDSMITH-DAVENPORT COTA
700 WEST AVE S ATTN PHYSICIAN SERVICES
LA CROSSE, WI 54601-4783
Phone number: 608-791-4156
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