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1518577097
SHANNON GOLDSTON
BOULDER CITY, NV
NPI
1518577097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NV OTA-2543)
Enumeration Date
2020-08-09
Last Update Date
2020-08-09
Business Address
Mrs. SHANNON GOLDSTON COTA/L
100 VETERANS MEMORIAL DR
BOULDER CITY, NV 89005-1926
Phone number: 702-332-6784
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Mailing Address
Mrs. SHANNON GOLDSTON COTA/L
768 CHRISTINA DR
BOULDER CITY, NV 89005-3425
Phone number: 602-738-9790
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