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1518502855
SHANNON LEE JEAN KRYSKI
INDIANAPOLIS, IN
NPI
1518502855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002562A)
Enumeration Date
2019-11-11
Last Update Date
2019-11-11
Business Address
SHANNON LEE JEAN KRYSKI COTA/L
4851 TINCHER RD
INDIANAPOLIS, IN 46221-3780
Phone number: 317-856-4851
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Mailing Address
SHANNON LEE JEAN KRYSKI COTA/L
10849 DAVIS WAY
FISHERS, IN 46038-2285
Phone number: 574-217-1779
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