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1386996585
TRACY STARK
WICHITA, KS
NPI
1386996585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-0227)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
Mrs. TRACY STARK COTA
622 N EDGEMOOR ST
WICHITA, KS 67208-3602
Phone number: 316-686-5100
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Mailing Address
Mrs. TRACY STARK COTA
1416 S GREENWOOD ST
WICHITA, KS 67211-3535
Phone number:
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