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1124509617
KIMBERLY SUE ROSE
AMARILLO, TX
NPI
1124509617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208441)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
KIMBERLY SUE ROSE COTA
6641 W AMARILLO BLVD
AMARILLO, TX 79106-1755
Phone number: 806-344-5252
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Mailing Address
KIMBERLY SUE ROSE COTA
3542 FM 1058
HEREFORD, TX 79045-7442
Phone number: 806-344-5252
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