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1033454186
MELISSA LYNN HOLLIS
PUEBLO WEST, CO
NPI
1033454186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 275778)
Enumeration Date
2012-11-30
Last Update Date
2012-11-30
Business Address
-- MELISSA LYNN HOLLIS COTA
1333 N BLUE LAKE LN
PUEBLO WEST, CO 81007
Phone number: 719-671-1016
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Mailing Address
-- MELISSA LYNN HOLLIS COTA
1333 N BLUE LAKE LN
PUEBLO WEST, CO 81007-1234
Phone number: 719-671-1016
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