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1093330490
SONIA BUSTAMANTE
GRAND ISLAND, NE
NPI
1093330490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 995)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
SONIA BUSTAMANTE COTA
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-398-5170
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Mailing Address
SONIA BUSTAMANTE COTA
PO BOX 5285
GRAND ISLAND, NE 68802-5285
Phone number: 308-398-5170
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