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1801566260
SHANNON KAY WIREMAN
SAINT JOHN, IN
NPI
1801566260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001594A)
Enumeration Date
2021-09-16
Last Update Date
2021-09-16
Business Address
SHANNON KAY WIREMAN COTA/L
10820 PARK PL
SAINT JOHN, IN 46373-8630
Phone number: 219-351-5214
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Mailing Address
SHANNON KAY WIREMAN COTA/L
3670 W KOZAK DR
WHEATFIELD, IN 46392-7373
Phone number: 219-964-8262
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