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1386994465
ALLYSON JEANETTE MICHAUD
CANON CITY, CO
NPI
1386994465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 1048123)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- ALLYSON JEANETTE MICHAUD COTA
951 FLORIDA ST
CANON CITY, CO 81212-8569
Phone number: 719-276-0724
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Mailing Address
-- ALLYSON JEANETTE MICHAUD COTA
951 FLORIDA ST
CANON CITY, CO 81212-8569
Phone number:
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