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1144803115
TAMMY EARLENE PREVATKE
YUMA, AZ
NPI
1144803115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ OTA004869)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
TAMMY EARLENE PREVATKE COTA
2470 S ARIZONA AVE
YUMA, AZ 85364-8520
Phone number: 928-344-8541
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Mailing Address
TAMMY EARLENE PREVATKE COTA
13493 E 51ST LN
YUMA, AZ 85367-6569
Phone number: 928-581-4100
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