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1255168217
SEANNAH ROSE SHAW
VAN BUREN, AR
NPI
1255168217
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Former Name
SEANNAH ROSE LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT2024-025)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
SEANNAH ROSE SHAW COTA
4733 KIBLER RD
VAN BUREN, AR 72956-8406
Phone number: 479-268-2949
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Mailing Address
SEANNAH ROSE SHAW COTA
4733 KIBLER RD
VAN BUREN, AR 72956-8406
Phone number: 479-268-2949
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