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1346600889
SHELLY PETERSON
PRAIRIE DU CHIEN, WI
NPI
1346600889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5194-27)
Enumeration Date
2016-02-25
Last Update Date
2019-05-28
Business Address
SHELLY PETERSON COTA
326 S PRAIRIE ST
PRAIRIE DU CHIEN, WI 53821-1723
Phone number: 608-433-8493
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Mailing Address
SHELLY PETERSON COTA
326 S PRAIRIE ST
PRAIRIE DU CHIEN, WI 53821-1723
Phone number: 608-433-8493
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