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1922310630
SHANTA L CALDWELL
FLORISSANT, MO
NPI
1922310630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2008019516)
Enumeration Date
2010-07-10
Last Update Date
2010-07-10
Business Address
Ms. SHANTA L CALDWELL cota
250 NEW FLORISSANT RD
FLORISSANT, MO 63031
Phone number: 314-830-7950
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Mailing Address
Ms. SHANTA L CALDWELL cota
2330 LOUISIANA AVE APT 1
SAINT LOUIS, MO 63104-1708
Phone number:
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