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1659899086
SHELBY MARLENE STANLEY
FORT WORTH, TX
NPI
1659899086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214652)
Enumeration Date
2017-09-06
Last Update Date
2022-07-21
Business Address
SHELBY MARLENE STANLEY COTA
1000 SAINT LOUIS AVE
FORT WORTH, TX 76104-3366
Phone number: 817-921-5020
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Mailing Address
SHELBY MARLENE STANLEY COTA
1000 SAINT LOUIS AVE
FORT WORTH, TX 76104-3366
Phone number: 817-921-5020
Copy
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