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1417139007
KIMBERLY DAWN SHAW
STILLWATER, OK
NPI
1417139007
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Former Name
KIMBERLY DAWN NEWMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OK 952)
Enumeration Date
2007-12-05
Last Update Date
2022-05-02
Business Address
Ms. KIMBERLY DAWN SHAW COTA/L
811 E VIRGINIA AVE
STILLWATER, OK 74075-7919
Phone number: 405-377-8255
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Mailing Address
Ms. KIMBERLY DAWN SHAW COTA/L
15413 S CR 207
BLAIR, OK 73526-9256
Phone number: 580-301-4277
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