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1811282064
CONNISHA SANDERS
FORT WAYNE, IN
NPI
1811282064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002009A)
Enumeration Date
2011-06-16
Last Update Date
2014-10-01
Business Address
-- CONNISHA SANDERS COTA
8309, BRIDGEWAY CIR APT 3A
FORT WAYNE, IN 46816
Phone number: 260-715-2904
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Mailing Address
-- CONNISHA SANDERS COTA
1955 VERNON ST
WABASH, IN 46992-4026
Phone number:
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