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1144759937
CORY A MEDINA
PHOENIX, AZ
NPI
1144759937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212485)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
CORY A MEDINA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
CORY A MEDINA
7540 N 19TH AVE STE 200
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Copy
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