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1285114918
SHANNON SAMPLES
WAXAHACHIE, TX
NPI
1285114918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211812)
Enumeration Date
2018-08-21
Last Update Date
2018-08-21
Business Address
SHANNON SAMPLES COTA
115 OVERHILL DR
WAXAHACHIE, TX 75165-1839
Phone number: 972-824-3980
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Mailing Address
SHANNON SAMPLES COTA
115 OVERHILL DR
WAXAHACHIE, TX 75165-1839
Phone number: 972-824-3980
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