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1407104268
ELAENA MILLER
BARABOO, WI
NPI
1407104268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 4925-27)
Enumeration Date
2012-08-27
Last Update Date
2012-08-27
Business Address
ELAENA MILLER COTA
634 NARAGANSETT AVE
BARABOO, WI 53913-1261
Phone number: 608-393-3554
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Mailing Address
ELAENA MILLER COTA
634 NARAGANSETT AVE
BARABOO, WI 53913-1261
Phone number: 608-393-3554
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