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1962687301
MICHAEL SCOTT SHELTON
BOCA RATON, FL
NPI
1962687301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY KY-A3203)
Enumeration Date
2008-01-03
Last Update Date
2008-01-03
Business Address
Mr. MICHAEL SCOTT SHELTON COTA/l
5901 BROKEN SOUND PKWY STE 500
BOCA RATON, FL 33487-2791
Phone number: 561-367-1175
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Mailing Address
Mr. MICHAEL SCOTT SHELTON COTA/l
1970 CEDAR GRAVEYARD RD
LEWISBURG, KY 42256-8529
Phone number: 270-535-4544
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