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1922420397
SHIRLEY JO STICE
PUEBLO, CO
NPI
1922420397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2014-01-20
Last Update Date
2014-01-20
Business Address
Mrs. SHIRLEY JO STICE COTA
333 MEADE AVE
PUEBLO, CO 81001-4231
Phone number: 719-583-9785
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Mailing Address
Mrs. SHIRLEY JO STICE COTA
333 MEADE AVE
PUEBLO, CO 81001-4231
Phone number: 719-583-9785
Copy
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