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1144381963
KRISTINE ELAYNE BOETEL
MESA, AZ
NPI
1144381963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 1909)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Ms. KRISTINE ELAYNE BOETEL COTAL
2220 S COUNTRY CLUB #104
MESA, AZ 85210
Phone number: 480-820-6366
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Mailing Address
Ms. KRISTINE ELAYNE BOETEL COTAL
PO BOX 6397
CHANDLER, AZ 85246
Phone number: 480-820-6366
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