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1669155354
KAYLYN JO SHUMATE
LIBERAL, KS
NPI
1669155354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-01494)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
KAYLYN JO SHUMATE COTA/L
2160 ZINNIA LN
LIBERAL, KS 67901-2042
Phone number: 620-624-3831
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Mailing Address
KAYLYN JO SHUMATE COTA/L
650 CR B
MINNEOLA, KS 67865-6550
Phone number: 620-255-0992
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