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1215435896
ALYSSA A SHIREK
WEST FARGO, ND
NPI
1215435896
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Former Name
ALYSSA A JENKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 105100)
Enumeration Date
2018-01-29
Last Update Date
2018-10-16
Business Address
ALYSSA A SHIREK OT
102 W BEATON DR STE 105
WEST FARGO, ND 58078
Phone number: 701-261-4643
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Mailing Address
ALYSSA A SHIREK OT
3507 EVERGREEN RD N
FARGO, ND 58102-1218
Phone number: 701-261-4643
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