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1376806968
PAMELA KIRAN DAUGHERTY
SAINT LOUIS, MO
NPI
1376806968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2010005293)
Enumeration Date
2012-06-19
Last Update Date
2012-06-19
Business Address
Ms. PAMELA KIRAN DAUGHERTY COTA/L
10176 CORPORATE SQUARE DR
SAINT LOUIS, MO 63132-2924
Phone number: 314-432-6200
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Mailing Address
Ms. PAMELA KIRAN DAUGHERTY COTA/L
3529 SALENA ST
SAINT LOUIS, MO 63118-4024
Phone number: 314-477-5223
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