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1407491715
SHELBY MARIE BOMAN
WOODBURY, TN
NPI
1407491715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3324)
Enumeration Date
2019-11-11
Last Update Date
2019-11-11
Business Address
SHELBY MARIE BOMAN COTA/L
119 W HIGH ST
WOODBURY, TN 37190-1226
Phone number: 615-563-5939
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Mailing Address
SHELBY MARIE BOMAN COTA/L
260 YELTON CT APT E
NASHVILLE, TN 37211-3455
Phone number: 205-712-5785
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