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1295941078
MICHELLE LEE RUNGE
SAINT LOUIS, MO
NPI
1295941078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2001010317)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
Mrs. MICHELLE LEE RUNGE COTA
3520 CHOUTEAU AVE
SAINT LOUIS, MO 63103-2916
Phone number: 314-771-2100
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Mailing Address
Mrs. MICHELLE LEE RUNGE COTA
611 CHANCELLOR LN
FENTON, MO 63026-5466
Phone number: 636-305-9367
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