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1568941862
KIMERLY ANN GREEN
WICHITA, KS
NPI
1568941862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-00686)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
Mrs. KIMERLY ANN GREEN COTA/L
3500 N ROCK RD STE 101
WICHITA, KS 67226-1341
Phone number: 316-440-3316
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Mailing Address
Mrs. KIMERLY ANN GREEN COTA/L
200 N POPLAR ST
WHITEWATER, KS 67154-8863
Phone number: 163-377-6441
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