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1386994796
ANGELA KAY SHANKS
LOUISVILLE, KY
NPI
1386994796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007492)
Enumeration Date
2012-09-12
Last Update Date
2012-10-05
Business Address
-- ANGELA KAY SHANKS COTA/L
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
-- ANGELA KAY SHANKS COTA/L
5230 REGIMENTAL BANNER DR
GRAND BLANC, MI 48439-8731
Phone number: 810-265-3531
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