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1528740230
SHANNON NICOLE CAVANAUGH
DAWSON SPRINGS, KY
NPI
1528740230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
SHANNON NICOLE CAVANAUGH COTA/L
213 WATER ST
DAWSON SPRINGS, KY 42408-1727
Phone number: 270-797-2025
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Mailing Address
SHANNON NICOLE CAVANAUGH COTA/L
1845 DANIEL BOONE RD
NORTONVILLE, KY 42442-9743
Phone number: 270-339-2889
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