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1033621214
TIFFANY CLARK
SUGAR LAND, TX
NPI
1033621214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 214462)
Enumeration Date
2017-10-28
Last Update Date
2017-10-28
Business Address
TIFFANY CLARK COTA
64 BRADFORD CIR
SUGAR LAND, TX 77479-2976
Phone number: 281-726-9471
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Mailing Address
TIFFANY CLARK COTA
64 BRADFORD CIR
SUGAR LAND, TX 77479-2976
Phone number:
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