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1801228234
NICOLE FETT
KEOKUK, IA
NPI
1801228234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 000807)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
Mrs. NICOLE FETT COTA/L
20 VILLAGE CIRCLE
KEOKUK, IA 52632
Phone number: 319-524-5772
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Mailing Address
Mrs. NICOLE FETT COTA/L
4560 SE INTERNATIONAL WAY STE. 100
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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