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1285914515
WANDA JEAN CHISCOLM
LAS VEGAS, NV
NPI
1285914515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NV 1079)
Enumeration Date
2011-08-17
Last Update Date
2012-08-16
Business Address
Ms. WANDA JEAN CHISCOLM COTA/L
6351 N. FORT APACHE RD.
LAS VEGAS, NV 89149
Phone number: 702-686-6469
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Mailing Address
Ms. WANDA JEAN CHISCOLM COTA/L
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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