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1760630107
SUSAN LYNN WICKWARE
DENVER, CO
NPI
1760630107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 1020996)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
-- SUSAN LYNN WICKWARE COTA
1324 S SHERMAN ST
DENVER, CO 80210-2213
Phone number: 303-733-1701
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Mailing Address
-- SUSAN LYNN WICKWARE COTA
1324 S SHERMAN ST
DENVER, CO 80210-2213
Phone number: 303-733-1701
Copy
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