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1154749729
JENNIFER LORI FREEBORN
DALLAS, TX
NPI
1154749729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211932)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
JENNIFER LORI FREEBORN COTA
2428 SAN MEDINA AVE
DALLAS, TX 75228-3112
Phone number: 214-282-4863
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Mailing Address
JENNIFER LORI FREEBORN COTA
2428 SAN MEDINA AVE
DALLAS, TX 75228-3112
Phone number: 214-282-4863
Copy
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