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1487011136
SHANTIA LYLE KOGER
HUNTSVILLE, AL
NPI
1487011136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 2383)
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
Mrs. SHANTIA LYLE KOGER
4320 JUDITH LN SW
HUNTSVILLE, AL 35805-3363
Phone number: 256-837-1730
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Mailing Address
Mrs. SHANTIA LYLE KOGER
110 THORNLEY CT
MADISON, AL 35756-4077
Phone number: 205-243-9569
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