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1720356470
CAROL YVONNE PETTUS
OVERLAND PARK, KS
NPI
1720356470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-00006)
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
Mrs. CAROL YVONNE PETTUS COTA
14631 FLOYD ST
OVERLAND PARK, KS 66223-2244
Phone number: 913-488-9848
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Mailing Address
Mrs. CAROL YVONNE PETTUS COTA
14631 FLOYD ST
OVERLAND PARK, KS 66223-2244
Phone number: 913-488-9848
Copy
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