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1972970309
SHAUN KIRK
GOSHEN, NY
NPI
1972970309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 008370-1)
Enumeration Date
2015-09-02
Last Update Date
2015-09-02
Business Address
-- SHAUN KIRK COTA
301 MAIN ST SUITE 3
GOSHEN, NY 10924-1636
Phone number: 845-458-8661
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Mailing Address
-- SHAUN KIRK COTA
301 MAIN ST SUITE 3
GOSHEN, NY 10924-1636
Phone number:
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