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1194282509
SHAWNA VI PETERSILIE
HAYS, KS
NPI
1194282509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-00496)
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
MRS. SHAWNA VI PETERSILIE COTA
2700 CANAL BLVD
HAYS, KS 67601-1702
Phone number: 785-625-7331
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Mailing Address
MRS. SHAWNA VI PETERSILIE COTA
566 W 6TH ST
HOISINGTON, KS 67544-2021
Phone number: 620-786-1979
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