FANNY BRISTOL

ALLIANCE, NE
NPI1003222530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NE  933)
Enumeration Date2014-07-03
Last Update Date2014-07-03
Business Address
FANNY BRISTOL COTA
1016 E 6TH ST
ALLIANCE, NE 69301-3600
Phone number: 308-762-9000
Mailing Address
FANNY BRISTOL COTA
PO BOX 313
ALLIANCE, NE 69301-0313
Phone number: 308-258-7541
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