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1780198507
MICHELLE MIKLESH
BROOKFIELD, WI
NPI
1780198507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 1208)
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
MICHELLE MIKLESH COTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
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Mailing Address
MICHELLE MIKLESH COTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
Copy
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