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1376135467
SHANANDA M RICHARDS
GILBERT, AZ
NPI
1376135467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 046701)
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
SHANANDA M RICHARDS COTA/L
4929 S VAL VISTA DR
GILBERT, AZ 85298-0664
Phone number: 480-795-8000
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Mailing Address
SHANANDA M RICHARDS COTA/L
211 W LEATHERWOOD AVE
QUEEN CREEK, AZ 85140-6632
Phone number: 307-351-1125
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