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1134511496
BERNARD BENJAMIN
ALBUQUERQUE, NM
NPI
1134511496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NM 3331)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
Mr. BERNARD BENJAMIN COTA
5123 JUAN TABO BLVD NE
ALBUQUERQUE, NM 87111-2672
Phone number: 505-292-3333
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Mailing Address
Mr. BERNARD BENJAMIN COTA
424 JEFFERSON ST NE APT 36
ALBUQUERQUE, NM 87108-1289
Phone number: 772-318-8113
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