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1417267618
KIM ANN WIESER
PHOENIX, AZ
NPI
1417267618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MN 201657)
Enumeration Date
2010-10-21
Last Update Date
2010-10-21
Business Address
Mrs. KIM ANN WIESER COTA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
Mrs. KIM ANN WIESER COTA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Copy
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