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1194158840
DEBRA K SHORES
MC LEAN, VA
NPI
1194158840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000632)
Enumeration Date
2013-08-16
Last Update Date
2013-08-16
Business Address
-- DEBRA K SHORES Cota
6251 OLD DOMINION DR
MC LEAN, VA 22101-4827
Phone number: 561-351-5394
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Mailing Address
-- DEBRA K SHORES Cota
6251 OLD DOMINION DR
MC LEAN, VA 22101-4827
Phone number: 561-351-5394
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