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1033414008
DENEICIA L GASAWAY
TYLER, TX
NPI
1033414008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 210613)
Enumeration Date
2011-01-21
Last Update Date
2011-01-21
Business Address
-- DENEICIA L GASAWAY COTA
3505 OLD JACKSONVILLE RD
TYLER, TX 75701-8510
Phone number: 903-561-7835
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Mailing Address
-- DENEICIA L GASAWAY COTA
314 LINCOLN STREET
TRINIDAD, TX 75163
Phone number: 903-275-7817
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