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1184800336
MICHAEL PAUL ELDER
WILLARD, MO
NPI
1184800336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 004789)
Enumeration Date
2008-01-18
Last Update Date
2008-01-18
Business Address
-- MICHAEL PAUL ELDER COTA
118 JACARANDA
WILLARD, MO 65781-8167
Phone number: 417-742-4817
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Mailing Address
-- MICHAEL PAUL ELDER COTA
118 JACARANDA
WILLARD, MO 65781-8167
Phone number: 417-742-4817
Copy
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