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1770037640
SHANNON MARIE NEWCOMB
MT WASHINGTON, KY
NPI
1770037640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 164370)
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
-- SHANNON MARIE NEWCOMB COTA/L
111 SAVANNAH DAWN CT
MT WASHINGTON, KY 40047-6451
Phone number: 502-428-1320
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Mailing Address
-- SHANNON MARIE NEWCOMB COTA/L
111 SAVANNAH DAWN CT
MT WASHINGTON, KY 40047-6451
Phone number: 502-428-1320
Copy
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