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1063145035
CHAMROEUN NICOLE LEISEY
HOUSTON, TX
NPI
1063145035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 215390)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
CHAMROEUN NICOLE LEISEY COTA
2310 ELDRIDGE PKWY
HOUSTON, TX 77077-5254
Phone number: 281-558-3900
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Mailing Address
CHAMROEUN NICOLE LEISEY COTA
2310 ELDRIDGE PKWY
HOUSTON, TX 77077-5254
Phone number: 281-658-1337
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