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1831679109
ALYSSA SHAY MCKENNON
WEATHERFORD, TX
NPI
1831679109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215290)
Enumeration Date
2018-08-16
Last Update Date
2018-08-16
Business Address
ALYSSA SHAY MCKENNON COTA
1201 HOLLAND LAKE DR
WEATHERFORD, TX 76086-5851
Phone number: 817-598-0160
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Mailing Address
ALYSSA SHAY MCKENNON COTA
235 RAMSEY RD
SANTO, TX 76472-2426
Phone number: 940-329-8496
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