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1407149503
SHANE SARGENT
ADDISON, NY
NPI
1407149503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 013373-1)
Enumeration Date
2011-05-23
Last Update Date
2011-05-23
Business Address
Ms. SHANE SARGENT OTR
7787 STATE ROUTE 417
ADDISON, NY 14801-9504
Phone number: 607-359-2261
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Mailing Address
Ms. SHANE SARGENT OTR
18 RYON CIR
LAWRENCEVILLE, PA 16929-9418
Phone number: 607-368-7949
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