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1629219795
SHANNON SHAY WATKINS
LANDER, WY
NPI
1629219795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WY OTA-730LP)
Enumeration Date
2009-03-18
Last Update Date
2009-03-18
Business Address
Ms. SHANNON SHAY WATKINS
100 PUSH ROOT CT
LANDER, WY 82520-3460
Phone number: 307-332-5508
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Mailing Address
Ms. SHANNON SHAY WATKINS
723 S 5TH ST
LANDER, WY 82520-3630
Phone number: 307-349-2433
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