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1316259898
KAREN A DETRICK
GREEN BAY, WI
NPI
1316259898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 883-27)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
-- KAREN A DETRICK COTA
1040 PILGRAM WAY WOODSIDE SENIOR COMMUNITIES
GREEN BAY, WI 54304
Phone number: 920-405-3522
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Mailing Address
-- KAREN A DETRICK COTA
1040 PILGRAM WAY WOODSIDE SENIOR COMMUNITIES
GREEN BAY, WI 54304
Phone number: 920-405-3522
Copy
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