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1417392473
KERRY ROSE
ROGERS, AR
NPI
1417392473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2013-05-05
Last Update Date
2013-05-05
Business Address
-- KERRY ROSE COTA/L
1000 W POPLAR ST
ROGERS, AR 72756-4242
Phone number: 479-631-7678
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Mailing Address
-- KERRY ROSE COTA/L
14581 FARM ROAD 2200
CASSVILLE, MO 65625-9448
Phone number: 417-671-1045
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