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1568865335
SHELLY RAE JENNINGS
COLORADO SPRINGS, CO
NPI
1568865335
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Former Name
SHELLY RAE FERNANDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 5391)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- SHELLY RAE JENNINGS COTA/L
8540 SCARBOROUGH DR STE 200
COLORADO SPRINGS, CO 80920-7513
Phone number: 719-314-0151
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Mailing Address
-- SHELLY RAE JENNINGS COTA/L
5027 W MCLELLAN RD
GLENDALE, AZ 85301-4012
Phone number: 623-349-2020
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