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1760633937
KATIE FIONA JERDEE
RACINE, WI
NPI
1760633937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 1921-027)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
MRS. KATIE FIONA JERDEE COTA
3205 WOOD RD
RACINE, WI 53406-5048
Phone number: 126-259-8914
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Mailing Address
MRS. KATIE FIONA JERDEE COTA
806 MADISON AVE
SOUTH MILWAUKEE, WI 53172-2622
Phone number: 414-764-3628
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