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1922169630
SANDRA NIELSEN
CASPER, WY
NPI
1922169630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WY 622)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- SANDRA NIELSEN COTA
2521 E 15TH ST
CASPER, WY 82609-4126
Phone number: 307-473-7144
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Mailing Address
-- SANDRA NIELSEN COTA
2185 MELODI LN
CASPER, WY 82601-9650
Phone number: 307-258-3248
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