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1457786675
SHANNON CLARK
WESTMINSTER, CO
NPI
1457786675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 1072069)
Enumeration Date
2013-09-06
Last Update Date
2013-09-06
Business Address
-- SHANNON CLARK
860 W 132ND AVE SPC 268
WESTMINSTER, CO 80234-1499
Phone number: 720-495-2942
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Mailing Address
-- SHANNON CLARK
860 W 132ND AVE SPC 268
WESTMINSTER, CO 80234-1499
Phone number: 720-495-2942
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