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1265800387
ALEXIS ICE
SPOKANE, WA
NPI
1265800387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC 60583403)
Enumeration Date
2015-09-05
Last Update Date
2015-09-05
Business Address
-- ALEXIS ICE COTA/L
6021 N LIDGERWOOD ST
SPOKANE, WA 99208-1125
Phone number: 509-489-3323
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Mailing Address
-- ALEXIS ICE COTA/L
2822 W CROWN AVE
SPOKANE, WA 99205-5822
Phone number: 509-294-2155
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