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1588861744
SHARIDANM A. MARTIN
PHOENIX, AZ
NPI
1588861744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 1751)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Mrs. SHARIDANM A. MARTIN COTA
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
Mrs. SHARIDANM A. MARTIN COTA
3117 E LA COSTA PL
CHANDLER, AZ 85249-3961
Phone number: 480-786-0591
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