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1164039970
BLAIR ELLYSE MADKINS
DALLAS, TX
NPI
1164039970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 216479)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
BLAIR ELLYSE MADKINS COTA/L, BS, AAS
14248 CHAPS DR
DALLAS, TX 75253-5305
Phone number: 936-371-3094
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Mailing Address
BLAIR ELLYSE MADKINS COTA/L, BS, AAS
14248 CHAPS DR
DALLAS, TX 75253-5305
Phone number: 936-371-3094
Copy
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