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1518580190
MIKAYLIN SHAY COLLETTE
BENTONVILLE, AR
NPI
1518580190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AR OT-A1620)
Enumeration Date
2020-05-18
Last Update Date
2020-05-18
Business Address
MIKAYLIN SHAY COLLETTE COTA/L
910 NW 7TH ST
BENTONVILLE, AR 72712-4565
Phone number: 479-250-9838
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Mailing Address
MIKAYLIN SHAY COLLETTE COTA/L
109 FAWN TRL
SENECA, MO 64865-8551
Phone number: 417-389-6483
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