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1558730564
STACY WATERS
DODGE CITY, KS
NPI
1558730564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-01135)
Enumeration Date
2015-09-20
Last Update Date
2015-09-20
Business Address
-- STACY WATERS COTA/L
200 CAMPUS DR
DODGE CITY, KS 67801-2760
Phone number: 620-225-1928
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Mailing Address
-- STACY WATERS COTA/L
200 CAMPUS DR
DODGE CITY, KS 67801-2760
Phone number:
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