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1790997104
SHERRY NICOLE WOOLLARD
SAINT LOUIS, MO
NPI
1790997104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2000169643)
Enumeration Date
2007-05-06
Last Update Date
2007-07-08
Business Address
-- SHERRY NICOLE WOOLLARD COTA
11701 BORMAN DR
SAINT LOUIS, MO 63146-4100
Phone number: 314-983-9555
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Mailing Address
-- SHERRY NICOLE WOOLLARD COTA
7005 GREENHOLLY DR
SAINT LOUIS, MO 63123-1609
Phone number: 314-667-8485
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