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1982117610
CORA JEAN UNDERWOOD
WICHITA, KS
NPI
1982117610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-01000)
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
CORA JEAN UNDERWOOD COTA
622 N EDGEMOOR ST
WICHITA, KS 67208-3602
Phone number: 316-686-5100
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Mailing Address
CORA JEAN UNDERWOOD COTA
1743 S LARK CT
WICHITA, KS 67209-4400
Phone number: 316-204-2424
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