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1528362829
SHIRLEY ANN TICE
POLAND, OH
NPI
1528362829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH ota-01087)
Enumeration Date
2010-12-29
Last Update Date
2010-12-29
Business Address
-- SHIRLEY ANN TICE cota
335 W MCKINLEY WAY
POLAND, OH 44514-1681
Phone number: 330-757-2732
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Mailing Address
-- SHIRLEY ANN TICE cota
335 W MCKINLEY WAY
POLAND, OH 44514-1681
Phone number: 330-757-2732
Copy
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