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1811180193
SHELLY ANN JUAIRE
PHOENIX, AZ
NPI
1811180193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MN 200574)
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
-- SHELLY ANN JUAIRE COTA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
-- SHELLY ANN JUAIRE COTA
3971 PERSHING ST SW
PRIOR LAKE, MN 55372-2373
Phone number: 952-440-1975
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