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1023589645
LISA DARLENE CAVANAUGH
AMARILLO, TX
NPI
1023589645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210307)
Enumeration Date
2018-12-07
Last Update Date
2018-12-07
Business Address
LISA DARLENE CAVANAUGH Cota
9 MEDICAL DR
AMARILLO, TX 79106-4137
Phone number: 806-352-2731
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Mailing Address
LISA DARLENE CAVANAUGH Cota
9 MEDICAL DR
AMARILLO, TX 79106-4137
Phone number: 806-352-2731
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