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1104540137
CHRISTOPHER HENRY HERRERA
FORT WORTH, TX
NPI
1104540137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208280)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
CHRISTOPHER HENRY HERRERA COTA
4900 GAGE AVE APT 671
FORT WORTH, TX 76109-1679
Phone number: 817-896-0920
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Mailing Address
CHRISTOPHER HENRY HERRERA COTA
4900 GAGE AVE APT 671
FORT WORTH, TX 76109-1679
Phone number: 817-896-0920
Copy
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