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1558606509
SHELLY STARK
BROOMFIELD, CO
NPI
1558606509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO 1925)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
-- SHELLY STARK OTR
16671 TRINITY LOOP
BROOMFIELD, CO 80023-4670
Phone number: 858-220-9598
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Mailing Address
-- SHELLY STARK OTR
16671 TRINITY LOOP
BROOMFIELD, CO 80023-4670
Phone number: 858-220-9598
Copy
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