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1710437629
KATESSIA LEANN SHELTON
JOHNSON CITY, TN
NPI
1710437629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 2782)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
Mrs. KATESSIA LEANN SHELTON COTA/L
401 E MAIN ST STE 4
JOHNSON CITY, TN 37601-4891
Phone number: 423-722-2062
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Mailing Address
Mrs. KATESSIA LEANN SHELTON COTA/L
401 E MAIN ST STE 4
JOHNSON CITY, TN 37601-4891
Phone number: 423-722-2062
Copy
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