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1801576269
SIDNEY NICOLE SELEY
PUEBLO, CO
NPI
1801576269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0001707)
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
SIDNEY NICOLE SELEY COTA/L
4601 EAGLERIDGE PL STE 140
PUEBLO, CO 81008-4101
Phone number: 719-253-7727
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Mailing Address
SIDNEY NICOLE SELEY COTA/L
164 E PALMER LAKE DR
PUEBLO WEST, CO 81007-1741
Phone number: 719-569-0732
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