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1366299802
SHELBY MARIE STARK
CAPE GIRARDEAU, MO
NPI
1366299802
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Former Name
SHELBY MARIE HOTOP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2012018295)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
SHELBY MARIE STARK COTA/L
2400 VETERANS MEMORIAL DR
CAPE GIRARDEAU, MO 63701-9620
Phone number: 573-290-5870
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Mailing Address
SHELBY MARIE STARK COTA/L
155 PCR 912
SAINT MARY, MO 63673-7113
Phone number: 573-768-9458
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