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1316389786
SUSAN M COYLE
GREEN BAY, WI
NPI
1316389786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 183-27)
Enumeration Date
2013-07-25
Last Update Date
2013-07-25
Business Address
-- SUSAN M COYLE COTA
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
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Mailing Address
-- SUSAN M COYLE COTA
12 CENTURY CT
APPLETON, WI 54914-6403
Phone number: 920-740-8441
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