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1841751112
SHANNON RENEE JAROSIK
HASTINGS, NE
NPI
1841751112
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Former Name
SHANNON BARTELS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 973)
Enumeration Date
2019-03-28
Last Update Date
2019-11-19
Business Address
SHANNON RENEE JAROSIK COTA
1924 W A ST
HASTINGS, NE 68901-5650
Phone number: 402-461-7578
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Mailing Address
SHANNON RENEE JAROSIK COTA
PO BOX 5285
GRAND ISLAND, NE 68802-5285
Phone number: 308-675-1853
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