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1144623554
LAUREN MIKEL FONSECA
AURORA, CO
NPI
1144623554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 10823)
Enumeration Date
2014-09-30
Last Update Date
2021-04-22
Business Address
LAUREN MIKEL FONSECA OTR
5954 S QUATAR CT
AURORA, CO 80015-5015
Phone number: 303-250-4291
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Mailing Address
LAUREN MIKEL FONSECA OTR
7000 MERCURY TRL
AMARILLO, TX 79118-1502
Phone number: 832-794-1562
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