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1740792191
SHANNON LEE STICE
BELLINGHAM, WA
NPI
1740792191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC00001160)
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
SHANNON LEE STICE COTA/L
5128 ALDRICH RD
BELLINGHAM, WA 98226-9636
Phone number: 360-305-8953
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Mailing Address
SHANNON LEE STICE COTA/L
5128 ALDRICH RD
BELLINGHAM, WA 98226-9636
Phone number:
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