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1306613005
KLARIN LEANN FAUSETT
LEWISTON, ID
NPI
1306613005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC61369541)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
KLARIN LEANN FAUSETT COTA/L
3128 CHERRY TREE CIR
LEWISTON, ID 83501-7040
Phone number: 916-599-9334
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Mailing Address
KLARIN LEANN FAUSETT COTA/L
3128 CHERRY TREE CIR
LEWISTON, ID 83501-7040
Phone number: 916-599-9334
Copy
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