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1992364129
SHANNON BALDWIN
VIDOR, TX
NPI
1992364129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 213607)
Enumeration Date
2019-06-11
Last Update Date
2019-06-11
Business Address
SHANNON BALDWIN COTA/L
470 MOORE DR
VIDOR, TX 77662-3843
Phone number: 409-769-2454
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Mailing Address
SHANNON BALDWIN COTA/L
470 MOORE DR
VIDOR, TX 77662-3843
Phone number: 409-769-2454
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