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1871915793
STACY LYNNE DOTY
WARRENTON, OR
NPI
1871915793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OR 391169)
Enumeration Date
2014-01-11
Last Update Date
2014-01-11
Business Address
Ms. STACY LYNNE DOTY COTA/L
90971 HIGHWAY 101 UNIT 77
WARRENTON, OR 97146-9346
Phone number: 503-861-8282
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Mailing Address
Ms. STACY LYNNE DOTY COTA/L
90971 HIGHWAY 101 UNIT 77
WARRENTON, OR 97146-9346
Phone number: 503-861-8282
Copy