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1396130373
SUNOMA CODISPOTI
SHORELINE, WA
NPI
1396130373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60539249)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- SUNOMA CODISPOTI COTA/L
19235 15TH AVE NW
SHORELINE, WA 98177-2725
Phone number: 206-546-2666
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Mailing Address
-- SUNOMA CODISPOTI COTA/L
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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